Unusual Case Report of Pre-Eclampsia with Severe Features and Painful Massive Bilateral Pedal Oedema Upto the Groin and Vulva

Abstract

The aim of this case report is to elucidate the unusual presentations and outcomes of sudden onset of pre-eclampsia with severe features and massive progressive painful bilateral pedal oedema up to the groin and vulva in an unbooked 23-year-old primigravida. The blood pressure was significantly elevated (170/130 mmHg) on presentation with associated significant proteinuria (+++) and elevated serum creatinine. Obstetric scan done on presentation confirmed a live active intrauterine fetus at 26 weeks of gestation. She was managed conservatively with antihypertensive and was delivered of a live male neonate with good Apgar scores following induction of labour at 28 weeks of gestation. Both mother and baby were discharged home in good conditions.