Spontaneous recovery of post partus liver necrosis in a patient listed for transplantation.
The patient was a young previously healthy woman, who after a normal grosses, during delivery got severe abdominal pain. The liver function tests were highly pathological and the patient became anuric and developed first grade of encephalopathy. In computer tomography, 90% of the liver parenchyma was damaged and liver biopsy showed necrosis. The patient had fulminant hepatic failure including hepatorenal syndrome and was put on the Scandiatransplant high urgent waiting list for a liver transplant. No suitable liver was found. After eight days, the general situation of the patient was better and the liver function tests started to improve. She was taken off the waiting list. Twenty-seven days after delivery the patient was discharged in good condition. At check up six months later the patient was feeling well and the clinical tests were normal.
Doepel
M
M
IV Department of Surgery, Helsinki University Central Hospital, Finland.
Backas
H N
HN
Taskinen
E I
EI
Isoniemi
H M
HM
Höckerstedt
K A
KA
D000328:Adult; D001706:Biopsy; D005260:Female; D006501:Hepatic Encephalopathy / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D006530:Hepatorenal Syndrome / Q000175:diagnosis / Q000473:pathology / Q000628:therapy; D006801:Humans; D008099:Liver / Q000473:pathology; D016031:Liver Transplantation; D009336:Necrosis; D011644:Puerperal Disorders / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D012075:Remission, Spontaneous; D006435:Renal Dialysis