Korean J Obstet Gynecol.  2004 Dec;47(12):2472-2475.

A Case of Pericardial Effusion in Pregnant Woman with Hypothyroidism

Affiliations
  • 1Department of Obstetrics and Gynecology, College of Medicine, Soonchunhyang University, Soonchunhyang Chunan Hospital, Chunan, Korea.

Abstract

Because thyroid disorders have a predilection for young women, it is not surprising that they are encountered with some frequency during pregnancy. Additionally, there is evidence that changes induced by pregnancy may actually stimulate remission and exacerbation of preexisting thyroid disease. Hypothyroidism is diagnosed if the expected rise of circulating thyroxine level does not occur during pregnancy, and the level of thyrotropin is elevated. Some authors indicate that hypothyroid women who do become pregnant have a high incidence of preeclampsia and placental abruption with a correspondingly inordinate number of low birth- weight, stillborn infants, heart diseases of pericardial effusion, pleural effusion and so on. We report here a case of patient, 35-year-old pregnant woman who experienced pericardial and pleural effusions with hypothyroidism induced after total thyroidectomy. The patient was recovered with thyroxine replacement and conservative treatments.

Keyword

Hypothyroidism; Pregnancy; Pericardial effusion; Thyroxine replacement

MeSH Terms

Abruptio Placentae
Adult
Female
Heart Diseases
Humans
Hypothyroidism*
Incidence
Infant
Pericardial Effusion*
Pleural Effusion
Pre-Eclampsia
Pregnancy
Pregnant Women*
Thyroid Diseases
Thyroid Gland
Thyroidectomy
Thyrotropin
Thyroxine
Thyrotropin
Thyroxine
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