Acute fatty liver of pregnancy
Collado Ferrer, M.ía.; Collado Ferrer, L.; Serrano, A.
Boletin de la Asociacion Medica de Puerto Rico 102(4): 51-53
2010
ISSN/ISBN: 0004-4849 PMID: 21766548 Document Number: 702819
A 17-year-old-female at 39 weeks gestation, presented with pelvic pain, proteinuria and a decrease in fetal heart rate. Timely caesarean section was performed. The postoperative course was complicated by acute renal failure, acute pancreatitis, acute liver failure, anemia, thrombocytopenia, systemic inflammatory response syndrome (SIRS), prolonged coagulopathy, hyperbilirubinemia, ecclampsia, and psychosis. The clinical features and laboratory abnormalities, in conjunction with the timing of gestational age, led to the diagnosis of acute fatty liver of pregnancy. Prompt diagnosis and supportive care in an intensive care unit provided for a positive outcome.
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