Preeclampsia as a Rare Cause of HyponatremiaIlker Kahramanoglu*, Merve Baktiroglu, Oguz Yucel and Fatma Ferda Verit
Department of Obstetrics and Gynecology, Suleymaniye Birth and Women Health Hospital for Research and Training, Istanbul, Turkey
- Corresponding Author:
- Ilker Kahramanoglu
Department of Obstetrics and Gynecology
Suleymaniye Birth and Women Health Hospital for Research and Training, Istanbul, Turkey
Tel: +90 533 474 64 97
E-mail: [email protected]
Received Date: May 07, 2014; Accepted Date: May 29, 2014; Published Date: May 31, 2014
Citation: Kahramanoglu I, Baktiroglu M, Yucel O, Verit FF (2014) Preeclampsia as a Rare Cause of Hyponatremia. Gynecol Obstet (Sunnyvale) 4:221. doi: 10.4172/2161-0932.1000221
Copyright: © 2014 Kahramanoglu I, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Background: Severe hyponatremia is a very rare, mortal complication of preeclampsia and has been described in fourteen cases.
Case presentation: A previously well, 29-year-old woman, gravida 2, para 1, was admitted at 34 weeks’ gestation with premature contractions. Her blood pressure was 150/90 mm Hg in both arms and she had mild proteinuria. On the third day of hospitalisation, sodium level was 120 mEq/L. On the same day, patient started to have headache. Cesarean delivery was performed because of prior cesarean section. On the first postoperative day, serum sodium level fell to 115 mEq/L. Patient had a generalised seizure After 24 hours of oral fluid restriction and 50 ml/hour isotonic sodium chloride administration, serum sodium increased to 127 mmol/L and by 48 hours, it returned to normal.
Conclusion: The prediction, prevention and management of hyponatremia in preeclamptic patients require attention since this condition may predispose to convulsions, maternal mortality and fetal damage.