Coche G, Moran V, Boillot A, Miguet J P, Hadni-Bresson S, Weill F S
Département de Radiologie Viscérale, C.H.R.U., Besançon, France.
Eur J Radiol. 1988 May;8(2):115-7.
CT scans of two patients with acute fatty liver of pregnancy were reviewed in conjunction with the clinical evolution of this uncommon and potentially fatal disorder. In each of the CT scans, liver density measurements were less than those of the spleen. While the findings are non-specific, in the proper clinical context they are highly suggestive and may be the sole method of diagnosis, as these patients often have coagulation problems which rule out liver biopsy. It is an important diagnosis, as the high maternal and fetal mortality rates appear to be considerably reduced by early foetal delivery.
结合这种罕见且可能致命的疾病的临床进展，对两名妊娠急性脂肪肝患者的CT扫描结果进行了回顾。在每例CT扫描中，肝脏密度测量值均低于脾脏。虽然这些发现是非特异性的，但在适当的临床背景下，它们具有高度提示性，可能是唯一的诊断方法，因为这些患者常有凝血问题，排除了肝活检。这是一项重要的诊断，因为早期胎儿分娩似乎能显著降低高孕产妇和胎儿死亡率。
