%0 Journal Article %T Late postpartum preeclampsia induced acute pulmonary edema, a rare presentation of a common disease: A case report | Emergency Care Journal %A Adriano Rodrigues %A Joana Costa %A Joana Queir¨® %A Jorge Fortuna %A Jos¨¦ Leite %A Jo£¿o Rua %A Ricardo Marques %J Emergency Care Journal %D 2018 %R https://doi.org/10.4081/ecj.2018.7240 %X Preeclampsia is a disorder of widespread vascular endothelial dysfunction and vasospasm associated with pregnancy. It can occur from the 20th week to 4-6 weeks postpartum, resulting in hypertension, proteinuria and, in severe cases, end-organ damage and death. A 31-year-old puerpera enters the emergency room with complaints of dyspnea and leg edema, two weeks after the delivery. She was polipneic and hypertensive, had vascular congestion on thorax x-ray, elevated d-dimers and NT-proBNP. Meanwhile pulmonary embolism was suspected, she developed an acute pulmonary edema. Exams excluded embolism and cardiac abnormalities. New onset proteinuria allowed to diagnose a severe postpartum preeclampsia. About 5.7% of preeclampsia occurs in the postpartum but this is sometimes neglected. As progression to eclampsia isn¡¯t influenced by control of hypertension or severe symptoms and seizure complications are a major cause of morbimortality, its recognition and institution of prophylaxis with magnesium sulphate is crucial %K Postpartum preeclampsia %K Severe preeclampsia %K Pulmonary edema. %U https://www.pagepressjournals.org/index.php/ecj/article/view/7240