J Clin Gynecol Obstet

Journal of Clinical Gynecology and Obstetrics, ISSN 1927-1271 print, 1927-128X online, Open Access

Article copyright, the authors; Journal compilation copyright, J Clin Gynecol Obstet and Elmer Press Inc

Journal website https://www.jcgo.org

Case Report

Volume 11, Number 4, December 2022, pages 117-120

Preeclampsia While on Venovenous Extracorporeal Membrane Oxygenation Support

Figures

Figure 1. CT scan with small right frontal subarachnoid hemorrhage (arrow) with associated adjacent cerebral edema. CT: computed tomography.

Figure 2. MRI axial FLAIR images demonstrating hyperintensities in the periventricular and parietal, occipital and frontal regions secondary to PRES (arrow). Diffusion-weighted imaging showed restricted diffusion along the right frontal convexity associated with subarachnoid blood (not shown). Diffusion-weighted images did not show evidence of acute infarct. MRI: magnetic resonance imaging; PRES: posterior reversible encephalopathy syndrome; FLAIR: fluid attenuated inversion recovery.

Table

**Table 1.** Review of Patient Laboratory Data
Laboratory value	VV-ECMO day 10; gestation 26 weeks 5 days	VV-ECMO day 36; gestation 30 weeks 0 day	Post-partum day 17
Temporal review of patient laboratory data on day 10 (gestation 26 weeks 5 days) at time of assessment for initial concern for preeclampsia, VV-ECMO day 36 (gestation 30 weeks 0 days) at which time cesarean section was performed, and post-partum day 17 correlating with 8 days after cannulation when patient developed seizures. Laboratory values are expressed as units according to US traditional reporting. VV-ECMO: venovenous extracorporeal membrane oxygenation; ALT: alanine aminotransferase; AST: aspartate aminotransferase; LDH: lactate dehydrogenase.
Liver function
AST	90 IU/L	326 IU/L	19 IU/L
ALT	126 IU/L	408 IU/L	13 IU/L
Alkaline phosphatase	146 IU/L	214 IU/L	82 IU/L
Total bilirubin	1.4 mg/dL	2.1 mg/dL	0.6 mg/dL
LDH	477 IU/L	581 IU/L	-
Platelets	196 × 10⁹/L	179 × 10⁹/L	736 × 10⁹/L
Hemoglobin	8.6 g/dL	8.4 g/dL	9.6 g/dL
Fibrinogen	121 mg/dL	167 mg/dL	-
Urinalysis protein	30 mg/dL	100 mg/dL	200 mg/dL
24-h urine
Protein	1,674 mg/24 h (normal < 150 mg/24 h)	-	-
Creatinine	1.2 g/24 h (normal)