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| Rare Cases of Ascites and Pregnancy: experience obstetrics and gynecology department II Fez
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Z. Tazi, S. Boumaaza, S. Jayi, F-Z. Fdili, H. Chaara, M.A. Melhouf
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Abstract:
Ascites is fluid effusion from the peritoneal cavity excluding the purulent (peritonitis), purely bloody (hemoperitoneum) or bilious effusions. Its occurrence in pregnant women is a rare clinical presentation. We report two clinical cases of ascites observed in two pregnant patients. There symptomatology was dominated by dyspnea, abdominal distension and edema of the legs. The etiologies were for one severe preeclampsia associated with liver cirrhosis and the other tuberculosis. Several ascites punctures were performed thus as the use of diuretics and beta blockers to reduce abdominal distension. Correction of anemia was achieved by iron supplementation and transfusions of blood. The deliveries were carried out vaginally for one of the patients and by c section for the other parturient. The clinical evolution of patients and that of their new-borns was favorable after several days of hospitalization.
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