Contributed by Edward C. Klatt, MD
--- Department of Pathology, University of Utah School of Medicine
Published on line in January 1997
A 41-year-old G3 P1011 Caucasian female had a prenatal course complicated at 12 weeks gestation by deep venous thrombosis and pulmonary embolism. She also had hypertension (150/95 mm Hg) that developed at the same time. Her past medical history was unremarkable, and she had no previous history of hypertension or coagulopathy. Fetal ultrasonographic examination performed at 18 weeks gestation showed intrauterine growth retardation (IUGR) with less than expected interval growth, oligohydramnios, and high placental resistance suggested by umbilical artery doppler. She presented to a local hospital with complaints of abdominal pain and nausea. Her condition worsened over the next 48 hours and she was airlifted to a regional medical center. Delivery occurred vaginally, with elective prostin induction, a day later.
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