Case Report: Acute Fatty Liver of Pregnancy

• 作者: Hoang Thi Diem Tuyet Huynh Nguyen Khanh Trang
• 来源期刊: 妇产科期刊(英文)
• 学科: 医学
• 关键词: ACUTE FATTY LIVER of PREGNANCY Expeditious Delivery
• 年，卷（期）: 2017,（10）
• 页码范围: 1017-1023
• 页数: 7页
• 分类号: R73

摘要

Acute fatty liver of pregnancy (AFLP) is a rare disease in Vietnam. Diagnosis by recorded literature is often difficult to distinguish from viral hepatitis, paraplegia, or bile duct disease, so AFLP diagnosis is often delayed. The prevalence of hepatitis B in Vietnam in pregnant women is estimated at 10% REF _Ref494526757 \r \h [1], preeclampsia is estimated at 0.2% REF _Ref494526760 \r \h [2]. A case pregnant woman has 35.5-week gestational age with AFLP, who was safely delivered both mother and infant at Hung Vuong hospital, Vietnam. A careful history and physical examination, in conjunction with compatible laboratory and ultrasound imaging results, are often sufficient to make the diagnosis, and liver biopsy is rarely indicated. Intensive adjuvant therapy and rapid birth control are essential for maternal and fetal outcomes.