[Intrepretation of elevated transaminase levels in a pregnancy after a liver transplantation].
A young woman became pregnant 36 months after a liver transplant following an episode of fulminant hepatitis A. At 38 weeks gestation, she delivered by cesarean section following an isolated and moderate elevation of her transaminase enzymes, indicating rejection of the graft. This was later confirmed by liver biopsy. Following augmentation of steroid therapy her postnatal progress was good. The infant progressed quite well. This case raises the question of the management of pregnant women following liver transplantation, with elevated transaminase levels.
Filipuzzi
L
L
Service de Gynécologie et d'Obstétrique, CHRU, Dijon.
Douvier
S
S
Favre
J P
JP
Mavel
A
A
Feldman
J P
JP
Jahier
J
J
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D002585:Cesarean Section; D005260:Female; D006084:Graft Rejection / Q000188:drug therapy / Q000201:enzymology*; D006801:Humans; D016031:Liver Transplantation; D011247:Pregnancy; D011248:Pregnancy Complications / Q000188:drug therapy / Q000201:enzymology*; D000637:Transaminases / Q000097:blood*
D000305:Adrenal Cortex Hormones; D000637:Transaminases
Interprétation d'une augmentation des transaminases lors d'une grossesse après une transplantation hépatique.