Preeclampsia

The case of a 32-year-old primigravida, 32 weeks gestation, with nausea, vomiting, thrombocytopenia, and abnormal liver function tests is presented. A diagnosis of severe preeclampsia was made and the patient underwent emergency cesarean section. Improvement of clinical symptoms and laboratory studies followed over the succeeding days. These less common manifestations of preeclampsia indicate severe disease necessitating aggressive management, even in the setting of a normal blood pressure. Thrombocytopenia, microangiopathic hemolytic anemia, or abnormal liver functions in a patient presenting in the latter half of pregnancy may be manifestations of severe preeclampsia.