KMID : 0388420010110010163
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Konkuk Journal of Medical Sciences 2001 Volume.11 No. 1 p.163 ~ p.170
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A case of severe form of preeclampsia and pericardial effusion associated with hypothyroidism during pregnancy
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Gu Hee-Ju
Choi Won-Suk Lee Ji-Young Sohn In-Sook Kim Soo-Nyung
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Abstract
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Hypothyroidism presenting during pregnancy is rare, probably due to the lower incidence of hypothyroidism during reproductive years. And hypothyroidism rarely complicates pregnancy because most hypothyroidism is accompanied by amenorrhea and anovulation.
Risk of maternal complications of hypothyroidism including preeclampsia, placental abruption, anemia, postpartum hemorrhage, cardiac dysfunction are increased.
Hypothyroidism accompanies pericardial effusion frequently. But the diagnosis of pericardial effusion is usually made incidentally by routine check-up because the patient rarely complains any symptoms of pericardial effusion. Moreover it is extremely rare that pericardial effusion makes the presenting sign of hypothyroidism.
We experienced a case of preeclampsia with pericardial effusion in hypothyroid parturient that needed pericardial window operation with emergency cesarean section. So we present this case with a brief review.
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KEYWORD
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Pericardial effusion, Hypothyroidism, Preeclampsia
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