Elevated liver enzymes and thrombocytopenia in the third trimester of pregnancy: an unusual case report and a review of the literature.
A woman presented in the third trimester of pregnancy with epigastric pain, elevated liver enzymes, and thrombocytopenia. The frozen-section liver biopsy findings were compatible with acute fatty liver of pregnancy. The light and electron microscopic findings were those of preeclampsia. All clinical and laboratory abnormalities resolved before delivery.
Hannah
M E
ME
Department of Obstetrics and Gynaecology, Women's College Hospital, Toronto, Ontario, Canada.
Gonen
R
R
Mocarski
E J
EJ
Cameron
R
R
Blendis
L
L
Glynn
M
M
D000208:Acute Disease; D000328:Adult; D001706:Biopsy; D004796:Clinical Enzyme Tests; D005234:Fatty Liver / Q000175:diagnosis / Q000473:pathology; D005260:Female; D006801:Humans; D008099:Liver / Q000201:enzymology* / Q000473:pathology; D011225:Pre-Eclampsia / Q000175:diagnosis* / Q000473:pathology; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D013921:Thrombocytopenia / Q000175:diagnosis* / Q000473:pathology