Resumen

LOPEZ-SANCHEZ, Geraldine; REYNA-VILLASMIL, Eduardo  y  TORRES-CEPEDA, Duly. Acute fatty liver of pregnancy. Case report. Rev. peru. ginecol. obstet. [online]. 2018, vol.64, n.4, pp.667-670. ISSN 2304-5132.  http://dx.doi.org/10.31403/rpgo.v64i2137.

Acute fatty liver of pregnancy is a rare condition that occurs most frequently in the third trimester. There is severe liver dysfunction, associated with renal impairment and prolonged clotting time. These hepatic and extra-hepatic complications can cause significant maternal morbidity and mortality, and the definitive treatment is the immediate interruption of pregnancy. We present a case of complicated acute fatty liver of pregnancy in a primigravid, 40-year-old patient who presented epigastralgia of sudden onset together with generalized lethargy, nausea and vomiting. Laboratory exams showed impaired hepatic and renal function along with hypoglycemia; we diagnosed acute fatty liver of pregnancy. The patient was treated to correct the metabolic alterations, and cesarean section was performed with improvement of laboratory parameters and complete postoperative recovery.

Palabras clave : Acute fatty liver of pregnancy; Liver; Pregnancy; Liver injury.

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