de Vasconcelos Gaspar Andreia, Ascensão Tânia C, Santos Silva Isabel
Obstetrics Service B, Bissaya Barreto Maternity, Coimbra University and Hospital Center, Coimbra, Portugal.
Am J Case Rep. 2020 Jan 29;21:e921122. doi: 10.12659/AJCR.921122.
BACKGROUND Acute fatty liver of pregnancy is an obstetric emergency characterized by liver dysfunction, which can lead to severe maternal and fetal complications. CASE REPORT A 34-year-old woman, 37 weeks and 2 days pregnant, reported symptoms of nausea, vomiting, jaundice, and prostration. Laboratory findings revealed liver dysfunction and coagulopathy. A clinical diagnosis of acute fatty liver was made and an emergency cesarean section was performed. The postoperative period was complicated by disseminated intravascular coagulation, acute hepatic and renal insufficiency, and pancreatitis. CONCLUSIONS Early recognition of this pathology, the interruption of pregnancy, and intensive therapy led to a favorable outcome.
妊娠急性脂肪肝是一种以肝功能障碍为特征的产科急症，可导致严重的母婴并发症。病例报告：一名34岁女性，孕37周零2天，出现恶心、呕吐、黄疸和虚脱症状。实验室检查结果显示肝功能障碍和凝血功能障碍。临床诊断为急性脂肪肝，并进行了急诊剖宫产。术后出现弥散性血管内凝血、急性肝肾功能不全和胰腺炎等并发症。结论：对该病症的早期识别、终止妊娠以及强化治疗带来了良好的结果。
