Acute Fatty Liver Of Pregnancy- A Case Report
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 17, Issue 2
Abstract
Background: Acute Fatty Liver Of Pregnancy (AFLP) Is A Rare Life Threatening Condition. It Is An Idiopathic Disorder With Extremely High Mortality (10–85%) In The Third Trimester. Incidence Of AFLP-1:7000-16000. Case Report: A 25 Year Old Primi Gravida At 33 Weeks, IVF Conception, DCDA Pregnancy, Presented With Vomiting, Yellow-Colored Sclera And Urine. Clinical Evaluation And Biochemical Investigations Showed Features Of Liver Impairment. A Clinical Diagnosis Of Acute Fatty Liver Of Pregnancy Was Suspected And Termination Of Pregnancy By LSCS Was Planned After A Multi-Disciplinary Approach Which Involved A Team Of Obstetrician, Medical Gastroenterologist, And Anesthetist And Neonatologist .Pre-Operative Transfusion Done. Intraoperatively, She Had A Massive PPH Leading To Sub-Total Hysterectomy. Postoperatively Patient Was Managed In ICU. Multiple Transfusions Were Done. Liver Parameters Gradually Improved And Patient On Follow Up. Results: AFLP Is An Uncommon, Life-Threatening Complication Of Third Trimester With Variable Presentation. It Is Recommended That Patients Who Are Critically Ill At The Time Of Presentation, Who Develop Complications, Or Who Continue To Deteriorate Despite Emergency Delivery, Should Be Given A Tertiary Care Management.
Authors and Affiliations
Dr. Suganya Devi. A, Dr. Bhuvana. S2
Keywords
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