Case Presentation
A 36-year-old woman, weighing 110 kg and gravida 3, para 2, presented to the labor and delivery unit at 34 weeks gestation with epigastric pain radiating to the right shoulder, severe nausea and vomiting, headache and thrombocytopenia.
At admission, her blood pressure was 130/90 mm Hg, heart rate was 71 beats per minute, and she had a Mallampati score of II and generalized edema. Tests showed a hemoglobin of 8.2