[Acute fatty liver of pregnancy--case report].
Severe liver function disorders in late pregnancy are relatively rare but extremely dangerous, as they may quickly develop into a fulminant disease and become a life-threatening disorder for the mother and the fetus. In the following study we have reported a case of a previously healthy woman with severe liver disorder in the third trimester of pregnancy. On the basis of anamnesis, differential diagnosis, typical course and complications of the disease, and proper response to intensive supportive medical therapy, we diagnosed an acute fatty liver of pregnancy. The diagnosis was based on clinical presentation and laboratory abnormalities. Owing to timely intervention and adequate supportive care management, this severe complication of a pregnancy has had a successful outcome for both the mother and the child.
Gruber
Katarzyna
K
Katedra i Klinika Chorób Wewnetrznych, Zawodowych i Nadciśnienia Tetniczego AM we Wrocławiu. kgruber@chzaw.am.wroc.pl
Skoczyńska
Anna
A
Belowska-Bień
Kinga
K
Poreba
Rafał
R
Podgórski
Maciej
M
Szuba
Andrzej
A
Andrzejak
Ryszard
R
D000208:Acute Disease; D000328:Adult; D000990:Antithrombin III / Q000032:analysis; D003401:Creatine / Q000097:blood; D003937:Diagnosis, Differential; D005234:Fatty Liver / Q000097:blood / Q000175:diagnosis* / Q000628:therapy*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000097:blood / Q000175:diagnosis* / Q000628:therapy*; D011256:Pregnancy Outcome; D011263:Pregnancy Trimester, Third
D000990:Antithrombin III; D003401:Creatine