[Acute fatty liver of pregnancy: a rare pathology of the third trimester].
Acute fatty liver of pregnancy is a rare clinical syndrome of pregnancy that occurs during the third trimester. Clinicians must have a high index of suspicion for this condition when a woman has nausea or vomiting during the last trimester. Early diagnosis and prompt delivery improve foetal and maternal prognosis. We report a case of a previously healthy 23-year-old woman who presented an acute fatty liver of pregnancy with intrauterine fetal death. Based on this experience as well as on medical literature, characteristics of this uncommon pathology are discussed.
Dedecker
F
F
Service de gynécologie-obstétrique, institut Mère-Enfant Alix-de-Champagne, CHU de Reims, 45, rue Cognac-Jay, 51092 Reims cedex, France. frederic.dedecker@wanadoo.fr
Graesslin
O
O
Palot
M
M
Fortier
D
D
Quéreux
C
C
Gabriel
R
R
D000208:Acute Disease; D000328:Adult; D005234:Fatty Liver / Q000150:complications* / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D005313:Fetal Death / Q000209:etiology*; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000209:etiology; D011263:Pregnancy Trimester, Third