Prise en Charge d’une Hypertension Artérielle Maligne en Grossesse à l’Hôpital Gynéco-Obstétrique et Pédiatrique de Yaoundé. À Propos d’un Cas

E Ngo Um Meka, Armand Kamga Talom, JS Dohbit, L Amenguele, P Foumane, J Ze Minkande

Abstract


ABSTRACT

Severe hypertension in pregnancy is a medical emergency. It’s responsible for polymorphic maternal and fetal complications. The authors report a case of malignant hypertension with superimposed preeclampsia in a 26 years old patient. She was admitted in the intensive care unit at 23 weeks and she was operated of a cesarean section at 37 weeks with a favorable outcome. Their purpose is to explain it’s clinical, therapeutic and prognosis particularities. This case reveals us early diagnosis and management of malignant hypertension in pregnancy can prevent the onset of visceral damage, death of patient and or her fetus.

RÉSUMÉ

L’hypertension artérielle (HTA) sévère pendant la grossesse est une urgence médicale responsable de complications materno-fœtales, polymorphes. Les auteurs rapportent le cas d’une HTA maligne avec prééclampsie surajoutée chez une patiente âgée de 26 ans. Elle a été hospitalisée à 23 semaines d’aménorrhées (SA) en service de réanimation, puis opérée d’une césarienne à 37 SA, avec issue favorable. Leur but est d’exposer ses particularités cliniques, thérapeutiques et pronostiques. Ce cas nous révèle que, la prise en charge rapide de l’HTA maligne en grossesse peut permettre d’éviter les atteintes viscérales, le décès de la patiente et ou du fœtus.


Keywords


Hypertension artérielle maligne; Grossesse; complications maternelles.

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