Tamara Espinosa Martinez
Cancun General Hospital "Jesus Kumate Rodriguez", MexicoPresentation Title:
Acute fatty liver in pregnancy. Case report
Abstract
Background: Acute fatty liver in pregnancy (AFLP) is a rare but life-threatening condition characterized by liver failure usually in the third trimester. Clinical information about this disease in Mexico is limited, due to the few reported or published cases.
Clinical Case: 22-year-old patient, 35.5 weeks pregnant and poor prenatal control. Upon admission to the obstetrics service, she reported non-specific symptoms such as nausea, vomiting, polydipsia and epigastric pain, later jaundice was added. Suspicion of AFLP was initiated due to the presence of 9/15 Swansea criteria. An emergency cesarean section was performed 6 hours after admission due to fetal bradycardia, and she was then admitted to the intensive care unit. Support measures were maintained until the patient's clinical and biochemical recovery.
Conclusions: Awareness, early diagnosis, and a plan for termination of pregnancy are essential for successful treatment, in cooperation with a multidisciplinary care team. The Swansea criteria should be applied as an early diagnostic test to improve therapeutic outcomes.
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