Diagnosis of liver infarction postpartum.
BACKGROUND
Patients with antiphospholipid syndrome (APS) have increased risks of developing thromboembolism, and the risk maybe amplified by the hypercoagulable state associated with pregnancy.


METHODS
A patient presented with severe chest pain, mild pyrexia associated with elevated serum transaminases, and marked neutrophilia after vaginal delivery. Liver infarction was diagnosed by spiral computer tomography and treated successfully with anticoagulation.


CONCLUSIONS
Liver infarction is a possible diagnosis in a patient with antiphospholipid syndrome who presents with chest or abdominal pain in the postpartum period.
Khong
Su-Yen
SY
Department of Women's Health and Care of the Newborn, Southmead Hospital, Bristol, United Kingdom.
James
Mark
M
Smith
Phillip
P
D000328:Adult; D016736:Antiphospholipid Syndrome / Q000150:complications* / Q000175:diagnosis; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007238:Infarction / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D008099:Liver / Q000098:blood supply* / Q000000981:diagnostic imaging; D008991:Monitoring, Physiologic; D049590:Postpartum Period; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000188:drug therapy; D011256:Pregnancy Outcome; D011263:Pregnancy Trimester, Third; D018570:Risk Assessment; D012720:Severity of Illness Index; D015912:Thrombolytic Therapy / Q000379:methods; D014057:Tomography, X-Ray Computed