Mirror Syndrome Leading to Eclampsia in a Pregnant Woman: a case report

Document Type : Case report

Authors

1 Associate professor, Department of Obstetrics and Gynecology, Women's Health Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Assistant professor, Department of Obstetrics and Gynecology, Women's Health Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

3 MSc student of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

Introduction: Mirror syndrome is described as mother's generalized edema accompanied with hydrops fetalis, which sometimes leads to preeclampsia. Mirror syndrome is uncommon and its accompaniment with eclampsia is very rare. This report presents a rare case of pregnancy accompanied with mirror syndrome leading to eclampsia.
Case Report: The patient was a 21-year-old woman, gravida 2 with history of one abortion and with 33 weeks gestation. The patient was admitted in Mashhad Imam Reza hospital with hydrops fetalis, diagnosed by sonography, generalized edema, hypertension (blood pressure of 140/90 mmHg) without headache, epigastric pain, and blurred vision which caused suspicion of mirror syndrome. The laboratory tests showed normal liver and renal function, normal platelet count, and no proteinuria. Two days after admission, hypertensive crisis occurred, and her blood pressure was 170/110 mmHg, and preeclampsia occurred. Therefore, cesarean section was performed because of prematurity. The neonate died after 48 h due to respiratory distress. After three days, the patient was discharged following 48 h infusion of intravenous magnesium sulfate with a good general condition and normal blood pressure.
Conclusion: Mirror syndrome is a rare complication of pregnancy accompanied with hydrops fetalis. Its symptoms can range from mother's edema to eclampsia. If maternal symptoms increased, emergency pregnancy termination leads to good prognosis and recovery of maternal symptoms.

Keywords

References

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The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 21, Issue 8
October 2018
Pages 115-119

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