[Acute hepatic steatosis of pregnancy in an Addisonian patient].
A case is reported of acute fatty liver occurring in an Addisonian woman with a twin pregnancy. It is pointed out that Sheehan's syndrome or acute fatty liver of pregnancy is an exceptional cause of jaundice in pregnancy. Its severity is due to the syndrome, associating hepatic failure and renal, pancreatic and haemorrhagic complications. The history of the pregnancy and the past medical history are of less import for the outcome. The best treatment is delivery by caesarean section, together with symptomatic treatment of the complications. In case of jaundice of unknown aetiology in late pregnancy, the advantages of an early diagnosis by transjugular hepatic biopsy are discussed.
D000208:Acute Disease; D000224:Addison Disease / Q000150:complications*; D000328:Adult; D002585:Cesarean Section; D005234:Fatty Liver / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D005260:Female; D006801:Humans; D007565:Jaundice / Q000209:etiology; D008099:Liver / Q000473:pathology; D011247:Pregnancy; D011248:Pregnancy Complications; D011263:Pregnancy Trimester, Third; D011272:Pregnancy, Multiple; D014427:Twins
Stéatose hépatique aiguë gravidique chez une addisonienne.