Login Contact Us
Jan 2020, Vol 8, Issue 1
Advanced Search
How do you find the scientific quality of the published articles on our web site?

Case Report
Case of Complicated Fatty Liver of Pregnancy With Good Outcome
Mitra Eftekhariyazdi1, Behnaz Souizi1, Manijeh Yousefi Moghaddam2, Forough Mortazavi3
1Department of Obstetrics and Gynecology, School of Medicine, Sabzvar University of Medical Sciences, Sabzevar, Iran
2Department of Anesthesiology, School of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran
3Department of Midwifery, School of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran

IJWHR 2020; 8: 106-109
DOI: 10.15296/ijwhr.2020.16
Viewed : 2888 times
Downloaded : 2392 times.

Keywords : Pregnancy complications, Acute fatty liver, Gestational, therapy, Liver dysfunction, Postpartum
Full Text(PDF) | Related Articles
Acute fatty liver of pregnancy (AFLP) is a rare condition with an incidence rate of 1 to 20 000 that mostly occurs in the third trimester of pregnancy. There is no specific treatment for AFLP thus a conservative treatment is usually applied in this regard. This case report is related to a 28-year-old G3 P1 Ab1 L1 woman at 29 weeks of pregnancy who was referred to our emergency ward from a primary setting with an epigastric pain, a mild hypertension, and the suspicion of HELLP [Hemolysis, elevated liver enzymes, and low platelet count] syndrome. The lab exams ruled out viral infections including hepatitis B virus (HBV), hepatitis C virus (HCV), and Human immunodeficiency virus (HIV). In addition, the urine protein was 40 mg/600 cc. AFLP was diagnosed and a cesarean was performed under spinal analgesia because of elevated liver enzymes, proteinuria in the normal range for pregnancy, the presence of viral infections that involved the liver, and lack of pruritus. A 29-week girl with a weight of 1115 g was born and the patient was discharged with a good condition. At 5 days postpartum, she referred with abdominal pain, fever, as well as incisional redness and discharge. The ultrasound scan showed a hematoma in the depth of the subdermis point of the cesarean incision. Thus, antibiotics and one unit of fresh frozen plasma were infused. On 14-day postpartum, the patient was discharged with a good condition. The purpose of this study was to focus the attention of physicians to the point that AFLP may improve after childbirth but it may predispose the patient to coagulation disorders and hematoma.

Cite By, Google Scholar

Google Scholar

Articles by Eftekhariyazdi M
Articles by Souizi B
Articles by Mortazavi F


Articles by Behnaz Souizi
Articles by Forough Mortazavi

Submit Paper
Online Submission System
IJWHR ENDNOTE ® Style Tutorials Publication Charge Women's Reproductive Health Research Center About Journal
Publication Information
Published Article Statistics