Crockett H C, de Virgilio C, Shimaoka E, Bongard F S, Klein S R
Department of Surgery, Harbor-University of California Los Angeles (UCLA) Medical Center 90509-2910.
Surg Laparosc Endosc. 1994 Jun;4(3):230-3.
We report a case of fatty infiltration of the liver in a 27-year-old Hispanic woman. She went to an outside hospital in her third trimester of pregnancy with abdominal pain, jaundice, peripheral edema, and diffuse intravascular coagulation. An emergent cesarean section was performed, and she developed symptoms of acute hemorrhagic pancreatitis and altered mental status. She was transferred to Harbor County Hospital, where a computed tomography scan showed a fatty liver, and a liver biopsy confirmed the diagnosis of fatty liver of pregnancy. Prompt recognition and immediate termination of pregnancy with intensive, supportive care are essentials in the management of fatty liver of pregnancy.
我们报告一例27岁西班牙裔女性的肝脏脂肪浸润病例。她在妊娠晚期因腹痛、黄疸、外周水肿和弥散性血管内凝血前往外院就诊。进行了急诊剖宫产，随后她出现急性出血性胰腺炎症状和精神状态改变。她被转至港湾县医院，在那里计算机断层扫描显示为脂肪肝，肝脏活检确诊为妊娠脂肪肝。对妊娠脂肪肝的管理而言，迅速识别并立即终止妊娠，同时给予强化支持治疗是关键。
