Dedecker F, Graesslin O, Palot M, Fortier D, Quéreux C, Gabriel R
Service de gynécologie-obstétrique, institut Mère-Enfant Alix-de-Champagne, CHU de Reims, 45, rue Cognac-Jay, 51092 Reims cedex, France.
Gynecol Obstet Fertil. 2006 Feb;34(2):131-3. doi: 10.1016/j.gyobfe.2005.10.028. Epub 2006 Jan 24.
Acute fatty liver of pregnancy is a rare clinical syndrome of pregnancy that occurs during the third trimester. Clinicians must have a high index of suspicion for this condition when a woman has nausea or vomiting during the last trimester. Early diagnosis and prompt delivery improve foetal and maternal prognosis. We report a case of a previously healthy 23-year-old woman who presented an acute fatty liver of pregnancy with intrauterine fetal death. Based on this experience as well as on medical literature, characteristics of this uncommon pathology are discussed.
妊娠急性脂肪肝是一种罕见的妊娠临床综合征,发生于妊娠晚期。当一名女性在妊娠晚期出现恶心或呕吐时,临床医生必须对这种情况保持高度怀疑。早期诊断和及时分娩可改善胎儿和产妇的预后。我们报告一例病例,一名23岁既往健康的女性出现妊娠急性脂肪肝并伴有宫内胎儿死亡。基于这一经验以及医学文献,对这种罕见病理的特征进行了讨论。