Original article | Volume 33, Article 182, 09 Jul 2019 | 10.11604/pamj.2019.33.182.19564

Elephantiasis in pregnancy

Ioannis Tsakiridis, Apostolos Mamopoulos

Corresponding author: Ioannis Tsakiridis, Third Department of Obstetrics and Gynaecology, Faculty of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece

Received: 26 Jun 2019 - Accepted: 26 Jun 2019 - Published: 09 Jul 2019

Domain: Obstetrics and gynecology

Keywords: Elephantiasis, pregnancy, edema

©Ioannis Tsakiridis et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Ioannis Tsakiridis et al. Elephantiasis in pregnancy. Pan African Medical Journal. 2019;33:182. [doi: 10.11604/pamj.2019.33.182.19564]

Available online at: https://www.panafrican-med-journal.com/content/article/33/182/full

Home | Volume 33 | Article number 182

Original article

Elephantiasis in pregnancy

Elephantiasis in pregnancy

Ioannis Tsakiridis1,&, Apostolos Mamopoulos1

 

1Third Department of Obstetrics and Gynaecology, Faculty of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece

 

 

&Corresponding author
Ioannis Tsakiridis, Third Department of Obstetrics and Gynaecology, Faculty of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece

 

 

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A 33-year-old primiparous woman was admitted for induction of labor at 39+2 gestational weeks due to gestational diabetes mellitus, treated with insulin. During physical examination, elephantiasis in both legs was revealed. Most common causes of this condition include infections and lymphadenectomy. In our case it first appeared at the age of seven following an ankle injury. Originally the edema affected only the right leg, but during pregnancy it also affected the left leg, with hypertrophy of the skin and subcutaneous tissues. There was excessive weight gain of 52kg during pregnancy (body mass index on admission: 49.6kg/m2), mainly due to the leg edema. Elephantiasis is neither an indication for intensive fetal monitoring during labor, nor for cesarean delivery. In our case, the woman delivered by emergency cesarean section, due to intrapartum fetal compromise, without any further complications. The edema remained almost unchanged at six weeks' postpartum evaluation.

 

 

Figure 1: elephantiasis in a pregnant woman with gestational diabetes mellitus

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original article

Elephantiasis in pregnancy

Original article

Elephantiasis in pregnancy

Original article

Elephantiasis in pregnancy

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Key words

Elephantiasis

Pregnancy

Edema

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Elephantiasis in pregnancy