Acute fatty liver of pregnancy and diagnosis by computed tomography.

Acute fatty liver of pregnancy and diagnosis by computed tomography.

A 39 year old woman was admitted to a maternity unit at 34 weeks' gestation with nausea, vomiting, and jaundice. Her condition deteriorated, and she was transferred to hospital, deeply unconscious and hypotensive. The diagnosis of acute fatty liver of pregnancy was initially suggested by the typical history of prodromal malaise and vomiting and the rapid onset of hepatic encephalopathy with pro...

Diagnosis of acute myopericarditis by delayed-enhancement multidetector computed tomography.

Acute Fatty Liver of Pregnancy Etiology

and fats—are used in anabolic reactions to synthesize necessary materials for the body’s cells and tissues (Table 1). Fats are categorized as saturated, monounsaturated, and polyunsaturated and are broken down further into short-, medium-, and longchain fats; the length is determined by the number of carbons attached to the molecule. Metabolism of fatty acids is a complex process requiring bile...

Idiopathic acute fatty liver of pregnancy.

A maternal survivor of idiopathic fatty liver, with the characteristic histological appearance on liver biopsy, is reported. Profound hypoglycaemia was the major complication in this patient and it is suggested that more attention should be given to the blood glucose in this disease. The consideration of future pregnancy in this patient is discussed.

Non-fatal acute fatty liver of pregnancy.

Four patients are described, admitted during a three-year period, who recovered from acute fatty liver of pregnancy; vomiting and jaundice were the main manifestations of the disease; coma and anuria were absent. During the same period, we observed one patient who died of acute fatty liver of pregnancy. This experience suggests that the non-fatal form of the disorder may be much commoner than t...