Journal of Clinical Gynecology and Obstetrics, ISSN 1927-1271 print, 1927-128X online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Gynecol Obstet and Elmer Press Inc
Journal website https://www.jcgo.org

Case Report

Volume 11, Number 4, December 2022, pages 117-120

Preeclampsia While on Venovenous Extracorporeal Membrane Oxygenation Support

Figures

Figure 1.
Figure 1. CT scan with small right frontal subarachnoid hemorrhage (arrow) with associated adjacent cerebral edema. CT: computed tomography.
Figure 2.
Figure 2. MRI axial FLAIR images demonstrating hyperintensities in the periventricular and parietal, occipital and frontal regions secondary to PRES (arrow). Diffusion-weighted imaging showed restricted diffusion along the right frontal convexity associated with subarachnoid blood (not shown). Diffusion-weighted images did not show evidence of acute infarct. MRI: magnetic resonance imaging; PRES: posterior reversible encephalopathy syndrome; FLAIR: fluid attenuated inversion recovery.

Table

Table 1. Review of Patient Laboratory Data
 
Laboratory valueVV-ECMO day 10; gestation 26 weeks 5 daysVV-ECMO day 36; gestation 30 weeks 0 dayPost-partum day 17
Temporal review of patient laboratory data on day 10 (gestation 26 weeks 5 days) at time of assessment for initial concern for preeclampsia, VV-ECMO day 36 (gestation 30 weeks 0 days) at which time cesarean section was performed, and post-partum day 17 correlating with 8 days after cannulation when patient developed seizures. Laboratory values are expressed as units according to US traditional reporting. VV-ECMO: venovenous extracorporeal membrane oxygenation; ALT: alanine aminotransferase; AST: aspartate aminotransferase; LDH: lactate dehydrogenase.
Liver function
  AST90 IU/L326 IU/L19 IU/L
  ALT126 IU/L408 IU/L13 IU/L
  Alkaline phosphatase146 IU/L214 IU/L82 IU/L
  Total bilirubin1.4 mg/dL2.1 mg/dL0.6 mg/dL
LDH477 IU/L581 IU/L-
Platelets196 × 109/L179 × 109/L736 × 109/L
Hemoglobin8.6 g/dL8.4 g/dL9.6 g/dL
Fibrinogen121 mg/dL167 mg/dL-
Urinalysis protein30 mg/dL100 mg/dL200 mg/dL
24-h urine
  Protein1,674 mg/24 h (normal < 150 mg/24 h)--
  Creatinine1.2 g/24 h (normal)