Intrahepatic Cholestatsis of Pregnancy: A Rare Outcome
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 9
Abstract
This case report concerns a primigravida woman (period of gestation-34weeks) diagnosed with intrahepatic cholestasis of pregnancy (IHCP). She had been married for 2 years and this is her first pregnancy. The patient was admitted to gastroenterology ward of KLE Prabhakar medical college Belgaum with chief complaints of itching all over the body since one and half months and icterus since 15-20 days. Patient had increased in severity of itching over the umbilical area, palms and sole since last 20 days. During the physical examination, the rashes were seen on legs and abdomen and arm. Per abdomen examination revealed cephalic presentation of the fetus with FHR as 140 bpm. Routine blood investigations revealed that the patient was also a case of moderate anemia and deranged liver transaminases and raised bile acids. After all the required investigations, she was diagnosed with IHCP with moderate anemia . IHCP is a pregnancy-specific liver disorder characterized by pruritus, most often, in the late-second or early third trimester of pregnancy and raised serum bile acids. The maternal outcome after treatment is good but fetal outcomes become adverse in most of the conditions.
Authors and Affiliations
Dr. Aakansha Sinha
Keywords
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