A case of preeclampsia developing massive ascites after delivery

Area of Science:

• Obstetrics and Gynecology
• Maternal-Fetal Medicine
• Neonatology

Background:

• Preeclampsia (PE) is a hypertensive disorder of pregnancy.
• Typical PE diagnosis involves hypertension and proteinuria or end-organ dysfunction.
• Postpartum onset of PE symptoms can occur, posing diagnostic challenges.

Observation:

• A case of preeclampsia with massive postpartum ascites is presented.
• The patient exhibited isolated proteinuria without hypertension prior to delivery.
• The infant experienced severe growth restriction and neonatal distress.

Findings:

• Massive ascites developing in the postpartum period can be a sign of severe preeclampsia.
• Isolated proteinuria, even without hypertension, may indicate significant disease.
• These clinical signs are crucial for predicting preeclampsia's clinical course.

Implications:

• Early recognition of postpartum ascites and isolated proteinuria is vital for timely intervention.
• This case highlights the importance of considering atypical presentations of preeclampsia.
• Improved prediction of preeclampsia severity can lead to better maternal and neonatal outcomes.