Chronic, severe primary hypothyroidism is often accompanied by amenorrhea and anovulation, and thus hypothyroidism rarely comlicates pregnancy. In those who do conceive. The increased risks for preeclampsia, placental abruption, anemia,
postpartum
hemorrhage, cardiac dysfunction and adverse perinatal outcome was correlated with the severity of maternal hypothyroidism.
Hypothyroidism accompanies pericardial effusion frequently, but the patient who complains of any symptom of pericarcial effusion is very rare. The diagnosis of pericardial effusion is usually made incidentally by routine check-up. Moreover it is
extremely rare that pericardial effusion makes the presenting sign of hypothyroidism.
We have experienced a case of hypothyroidism presenting with the symptom of dyspnea in a 24 year-old female patient who was at 35 weeks' gestation. The cause of dyspnea was massive pericardial effusion, resulted in cardiac tamponade and
congestive
heart
failure. Megacolon was also found incidentally in same patient.
So we present this case with a brief review of concerned literatures.
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