title: Acute fatty liver of pregnancy.
abstract: A 17-year-old-female at 39 weeks gestation, presented with pelvic pain, proteinuria and a decrease in fetal heart rate. Timely caesarean section was performed. The postoperative course was complicated by acute renal failure, acute pancreatitis, acute liver failure, anemia, thrombocytopenia, systemic inflammatory response syndrome (SIRS), prolonged coagulopathy, hyperbilirubinemia, ecclampsia, and psychosis. The clinical features and laboratory abnormalities, in conjunction with the timing of gestational age, led to the diagnosis of acute fatty liver of pregnancy. Prompt diagnosis and supportive care in an intensive care unit provided for a positive outcome.
authors.affiliation: Department of Medicine, HIMA-San Pablo Caguas Hospital, Caguas, Puerto Rico. coll_md@yahoo.com
authors.forename: María
authors.initials: M
authors.lastname: Collado Ferrer
authors.forename: Linda
authors.initials: L
authors.lastname: Collado Ferrer
authors.forename: Alfonso
authors.initials: A
authors.lastname: Serrano
mesh_terms: D000037:Abruptio Placentae / Q000601:surgery; D000208:Acute Disease; D000293:Adolescent; D016913:Blood Component Transfusion; D002585:Cesarean Section; D003131:Combined Modality Therapy; D003422:Critical Care / Q000379:methods*; D005234:Fatty Liver / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D005316:Fetal Distress / Q000209:etiology / Q000601:surgery; D005440:Fluid Therapy; D005947:Glucose / Q000627:therapeutic use; D006402:Hematologic Diseases / Q000188:drug therapy / Q000209:etiology / Q000628:therapy; D006801:Humans; D007003:Hypoglycemia / Q000188:drug therapy / Q000209:etiology; D010195:Pancreatitis / Q000209:etiology; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000601:surgery; D011507:Proteinuria / Q000209:etiology; D011618:Psychotic Disorders / Q000209:etiology; D011644:Puerperal Disorders / Q000209:etiology* / Q000628:therapy; D018746:Systemic Inflammatory Response Syndrome / Q000209:etiology / Q000628:therapy
chemical_list: D005947:Glucose