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Superimposed toxemia, abruptio placentae, hypofibrinogenemia, acute renal shutdown, and paralytic ileus complicating a case of prepregnancy hypertension

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      Abstract

      This case exemplifies the numerous problems that can occur in a pregnant woman with prepregnancy hypertension on which is suddenly superimposed toxemia of pregnancy. An alteration in the clotting mechanism was constantly watched for. Acute renal shutdown was one of the complications we were concerned with after the episode of bleeding and the period of shock which might cause damage to the pituitary, brain, and kidney. Paralytic ileus that developed after the anuria possibly could be explained by bleeding into the peritoneal cavity. It is not an uncommon factor. Ruling out whether or not the patient had a volvulus of the sigmoid was another problem.
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