• Home
  • NEW DAY MEDICINE
  • 2 (88) 2026
  • 32 -2 (88) 2026 - Kurbanov P.Zh., Zholymbetov I.P. - RARE CLINICAL CASE OF COMPLICATED PREECLAMPSIA AND SEVERE ANEMIA: MULTIDISCIPLINARY SURGICAL TACTICS

32 -2 (88) 2026 - Kurbanov P.Zh., Zholymbetov I.P. - RARE CLINICAL CASE OF COMPLICATED PREECLAMPSIA AND SEVERE ANEMIA: MULTIDISCIPLINARY SURGICAL TACTICS

RARE CLINICAL CASE OF COMPLICATED PREECLAMPSIA AND SEVERE ANEMIA: MULTIDISCIPLINARY SURGICAL TACTICS

Kurbanov P.Zh. - Branch of the Republican Scientific and Practical Medical Center for Maternal and Child Health, Republic of Karakalpakstan, Medical Institute of Karakalpakstan, Republic of Karakalpakstan

Zholymbetov I.P. - Branch of the Republican Scientific and Practical Medical Center for Maternal and Child Health, Republic of Karakalpakstan, Medical Institute of Karakalpakstan, Republic of Karakalpakstan

Bazarova S.K. - Branch of the Republican Scientific and Practical Medical Center for Maternal and Child Health, Republic of Karakalpakstan, Medical Institute of Karakalpakstan, Republic of Karakalpakstan

Reimova M.K. - Branch of the Republican Scientific and Practical Medical Center for Maternal and Child Health, Republic of Karakalpakstan, Medical Institute of Karakalpakstan, Republic of Karakalpakstan

Uteniyazova D.K. - Branch of the Republican Scientific and Practical Medical Center for Maternal and Child Health, Republic of Karakalpakstan, Medical Institute of Karakalpakstan, Republic of Karakalpakstan

Resume

Severe preeclampsia and pronounced anemia in pregnant women are among the most dangerous complications of gestation, significantly increasing maternal and perinatal morbidity and mortality. Their combination is associated with a risk of multiple organ failure, disseminated intravascular coagulation (DIC), infections, and suture dehiscence. The aim of this article is to present a rare clinical case of severe preeclampsia with hemoglobin of 35 g/L, complicated by intestinal deserosalization and laparotomy wound dehiscence, and to highlight the importance of a multidisciplinary approach. The patient underwent emergency cesarean section, relaparotomy with repair of the serosal defect of the ascending colon, hysterectomy, and drainage. Postoperatively, DIC, intestinal paresis, and wound dehiscence developed. The use of alginate gel, intensive therapy, and correction of anemia ensured wound cleansing, preservation of granulations, and a favorable outcome. This case confirms the effectiveness of timely diagnosis, staged surgical tactics, interdisciplinary collaboration, and modern local therapy tools in obstetric practice for extremely severe combined complications.

Keywords: preeclampsia; anemia in pregnancy; cesarean section; DIC syndrome; suture dehiscence; deserosalization of the large intestine; hard-to-heal wound; alginate gel.

First page

155

Last page

160

For citation:Kurbanov P.Zh., Zholymbetov I.P., Bazarova S.K., Reimova M.K., Uteniyazova D.K. - RARE CLINICAL CASE OF COMPLICATED PREECLAMPSIA AND SEVERE ANEMIA: MULTIDISCIPLINARY SURGICAL TACTICS//New Day in Medicine 2(88)2026 155-160 https://newdayworldmedicine.com/en/new_day_medicine/2-88-2026

List of References

  1. Васильев Ю. Л., Байрашевская А. В., Каштанов А. Д. Обзор современных материалов, применяемых для покрытия раневых поверхностей. Оперативная хирургия и клиническая анатомия. 2020;4(2):49–56. DOI: 10.17116/operhirurg2020402149
  2. Гусева Е. В., Коноплянников А. Г., Ляхова Т. Н. Диагностика и лечение преэклампсии тяжелой степени. Акушерство и гинекология. 2020;(4):17–22. DOI: 10.18565/aig.2020.4.17-22
  3. Шалина Р. И., Лебедева О. М., Новикова О. Н. Роль эндотелиальной дисфункции в патогенезе преэклампсии. Российский вестник акушера-гинеколога. 2021; 21(3): 34–39. DOI: 10.17116/rosakush20212103134
  4. Adina Alberts, Dana Tudorache Adelina, Gabriela Niculescu Alexandru, Mihai Grumezescu. Advancements in wound dressing materials: Highlighting recent progress in hydrogels, foams, and antimicrobial dressings. Gels. 2025;11(2):123. (In Engl.) DOI: 10.3390/gels110201235.
  5. Kirsten Rose Carlaw, Aizat Drahman, Angelina Di Re. Pseudo-obstruction after reversal of ileostomy. Surgical Techniques Development. 2025;55-14(1):7. (In Engl.) DOI: 10.3390/std14010007
  6. Misganaw Fikrie Melesse, Getie Lake Aynalem Martha Berta Badi, Bewket Yeserah Aynalem. Maternal outcomes of severe preeclampsia and eclampsia and associated factors among women admitted at referral hospitals of Amhara Regional State, institutional-based cross-sectional study, North-West Ethiopia. Frontiers in Global Women’s Health. 2025;6:Article 1555778. (In Engl.) DOI: 10.3389/fgwh.2025.1555778 Frontiers
  7. Jingwen Yu, Mengge Ke, Guangming WangYu, Ke M., Wang G. Conservative management of giant retroperitoneal hematoma after cesarean section in severe preeclampsia: A rare case report. BMC Pregnancy and Childbirth. 2025;25:346. (In Engl.) DOI: 10.1186/s12884-025-07467-6

    file

    download