Massive postpartum ascites in the case diagnosed as SLE by renal biopsy performed after delivery.
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We report a case with systemic lupus erythematosus who developed massive ascites on the 2nd day after delivery. The patient had prominent proteinuria, thrombocytopenia and hypertension during pregnancy and was diagnosed as having ITP and nephritis. She was treated with corticosterodis but without effect. Cord centesis showed a thrombocyte count in cord blood of over 150, 000/yl and a vaginal delivery was accomplished. At 1st day postpartum, oliguria appeared. On the next day massive ascites developed and 4900m1 of translucent ascitic fluid was removed. Retention of ascitic fluid was not detected thereafter. A renal biopsy performed on the 7th postpartum day confirmed the presence of lupus nephritis. In this case, the acute retention of ascites may be explained by the serositis due to SLE and the accelerated leakage caused by the decreased abdominal pressure after delivery. [Adv Obstet Gynecol 48(3); 194-198, 1996 (H8.5)]
- 近畿産科婦人科学会の論文
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