Hypertensive crisis during general anesthesia in sixteen years old adolescent with previously diagnosed preeclampsia: a case report

ObjectiveHypertension is not uncommon during pregnancy. Gestational hypertension diagnosed when elevated blood pressure without proteinuria develops after 20 weeks of gestation and returns to normal within 12 delivery. (1) One fourth women with gestational develop thus progress preeclampsia. (2) Preeclampsia a pregnancy-specific, multisystem disorder characterized by the development gestation. (3) Prevalence adolescent preeclampsia 6,7%. Socioeconomic demographic characteristics play role for risk in pregnancy.(4)CaseWe present 16 year old who was that progressed 28th week Three delivery she scheduled cholecystectomy. Anamnestic data revealed pregnancy on antihypertensive therapy but fifteen days postpartum discontinued consulting her doctor. Preoperative cardiological exam pressure, kidney function count. During general anesthesia early postoperative course crisis developed. Maximal measured 190/110 mmHg. Hypertensive successfully resolved using magnesium sulfate nifedipine. Inform consent obtained from patient.SummaryGeneral surgey promote release stress hormones. This response can be detremental patients unstable postpartum. Although usually resolves delivery, shoud countinued 6 order prevent hypertensive episodes possible cosequences. Hypertension pregnancy.(4) We patient. General 1. ACOG Committee Obstetric Practice. practice bulletin. Diagnosis management eclampsia. American College Obstetricians Gynecologists. Obstet Gynecol 2002;99:159-672. Saudan P, Brown MA, Buddle ML, et al: Does become pre-eclampsia? Br J Gynaecol 1998;105:11773. Wagner L.K Management Preeclampsia. Family Physician 2004; 70:23244. Tereza C Macedo all. eclampsia pregnancy: A systematic review meta-analysis 291,247 adolescents worldwide since 1969. Eur Reprod Biol 2020;248:177