Gallbladder wall thickening in a woman with postpartum preeclampsia: A case report

Background: Preeclampsia (PE) is hallmarked by dysfunction of various organs; therefore, its diagnosis can be challenging, especially when patients present with right upper abdominal pain. Herein, we present a case of postpartum gallbladder wall thickening (GBWT) that led to a diagnosis of PE, rathe...

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Autores principales:	Tsuyoshi Murata, Yuki Yoshimoto, Yoshiaki Shibano, Soichi Nakamura, Ryuji Yamauchi
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Preeclampsia Edema Gallbladder wall thickening Postpartum Surgery RD1-811 Gynecology and obstetrics RG1-991
Acceso en línea:	https://doaj.org/article/8214a071c01a4107920918d154993bef
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spelling	oai:doaj.org-article:8214a071c01a4107920918d154993bef2021-11-26T04:29:58ZGallbladder wall thickening in a woman with postpartum preeclampsia: A case report2214-911210.1016/j.crwh.2021.e00370https://doaj.org/article/8214a071c01a4107920918d154993bef2022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2214911221000886https://doaj.org/toc/2214-9112Background: Preeclampsia (PE) is hallmarked by dysfunction of various organs; therefore, its diagnosis can be challenging, especially when patients present with right upper abdominal pain. Herein, we present a case of postpartum gallbladder wall thickening (GBWT) that led to a diagnosis of PE, rather than hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome or gallbladder and biliary disease. Case Presentation: A 31-year-old postpartum woman presented with a fever, hypertension, headache, and right upper abdominal pain. HELLP syndrome and intracranial hemorrhage were initially suspected, due to the combination of symptoms and elevated levels of aspartate transaminase, alanine transaminase, and lactate dehydrogenase. However, hemolysis and thrombocytopenia were absent, and a computed tomography (CT) scan of the head did not indicate the presence of intracranial hemorrhage. Further, transabdominal ultrasound and CT revealed GBWT (edematous gallbladder); CT also revealed an enlarged heart, lung edema, pleural effusion, and ascites. Thus, PE, rather than HELLP syndrome or gallbladder or biliary disease, was diagnosed based on gestational hypertension and proteinuria, new-onset headache, liver dysfunction, and edema in several organs, including the lung. Nicardipine treatment quickly improved hypertension and headache, and, over time, the patient's urination increased, and edema subsided throughout the body. Furthermore, laboratory results improved, and the patient was discharged on postpartum day 11. Conclusion: Postpartum gallbladder wall thickening can be a diagnostic sign of PE.Tsuyoshi MurataYuki YoshimotoYoshiaki ShibanoSoichi NakamuraRyuji YamauchiElsevierarticlePreeclampsiaEdemaGallbladder wall thickeningPostpartumSurgeryRD1-811Gynecology and obstetricsRG1-991ENCase Reports in Women's Health, Vol 33, Iss , Pp e00370- (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Preeclampsia Edema Gallbladder wall thickening Postpartum Surgery RD1-811 Gynecology and obstetrics RG1-991
spellingShingle	Preeclampsia Edema Gallbladder wall thickening Postpartum Surgery RD1-811 Gynecology and obstetrics RG1-991 Tsuyoshi Murata Yuki Yoshimoto Yoshiaki Shibano Soichi Nakamura Ryuji Yamauchi Gallbladder wall thickening in a woman with postpartum preeclampsia: A case report
description	Background: Preeclampsia (PE) is hallmarked by dysfunction of various organs; therefore, its diagnosis can be challenging, especially when patients present with right upper abdominal pain. Herein, we present a case of postpartum gallbladder wall thickening (GBWT) that led to a diagnosis of PE, rather than hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome or gallbladder and biliary disease. Case Presentation: A 31-year-old postpartum woman presented with a fever, hypertension, headache, and right upper abdominal pain. HELLP syndrome and intracranial hemorrhage were initially suspected, due to the combination of symptoms and elevated levels of aspartate transaminase, alanine transaminase, and lactate dehydrogenase. However, hemolysis and thrombocytopenia were absent, and a computed tomography (CT) scan of the head did not indicate the presence of intracranial hemorrhage. Further, transabdominal ultrasound and CT revealed GBWT (edematous gallbladder); CT also revealed an enlarged heart, lung edema, pleural effusion, and ascites. Thus, PE, rather than HELLP syndrome or gallbladder or biliary disease, was diagnosed based on gestational hypertension and proteinuria, new-onset headache, liver dysfunction, and edema in several organs, including the lung. Nicardipine treatment quickly improved hypertension and headache, and, over time, the patient's urination increased, and edema subsided throughout the body. Furthermore, laboratory results improved, and the patient was discharged on postpartum day 11. Conclusion: Postpartum gallbladder wall thickening can be a diagnostic sign of PE.
format	article
author	Tsuyoshi Murata Yuki Yoshimoto Yoshiaki Shibano Soichi Nakamura Ryuji Yamauchi
author_facet	Tsuyoshi Murata Yuki Yoshimoto Yoshiaki Shibano Soichi Nakamura Ryuji Yamauchi
author_sort	Tsuyoshi Murata
title	Gallbladder wall thickening in a woman with postpartum preeclampsia: A case report
title_short	Gallbladder wall thickening in a woman with postpartum preeclampsia: A case report
title_full	Gallbladder wall thickening in a woman with postpartum preeclampsia: A case report
title_fullStr	Gallbladder wall thickening in a woman with postpartum preeclampsia: A case report
title_full_unstemmed	Gallbladder wall thickening in a woman with postpartum preeclampsia: A case report
title_sort	gallbladder wall thickening in a woman with postpartum preeclampsia: a case report
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/8214a071c01a4107920918d154993bef
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Gallbladder wall thickening in a woman with postpartum preeclampsia: A case report

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