Pregnancy and Intestinal Lymphangiectasia (Waldmann disease)

Pregnancy and Intestinal Lymphangiectasia (Waldmann disease)

Clin Ter. 2008 May-Jun

Tourlakis D, Hatziveis K, Spiliopoulos E.
Obstetric, Gynecologic Clinic St. Andrews hospital, Patra, Greece.

We present a case of a woman with intestinal lymphangiectasia and pregnancy. She had been treated with albumin transfusions beginning from the age of 2 years. No major complications were caused to the pregnancy. During pregnancy she was given albumin transfusions at regular intervals, while measuring total proteins, albumin and calcium concentrations in the serum. Due to the increasing needs in proteins as the pregnancy went on, the interval between each transfusion went decreasing. Finally, at 39 weeks of gestation she gave birth by cesarean section due to placenta previa to a healthy female fetus. A worsening of hypoproteinemia and edema was noted during puerperium and lactation. Weaning improved her clinical status. The baby was followed by pediatricians and found her in good health. Summing up, normal pregnancy is compatible with the condition. A strict maternal and fetal care during pregnancy and puerperium is recommended. Clin Ter 2008; 159(3):173-174.

PubMed