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Successful salvage delivery and liver transplantation for fulminant hepatic failure in a 34-week pregnant woman: a case report.
- Source :
-
Transplantation proceedings [Transplant Proc] 2012 Nov; Vol. 44 (9), pp. 2768-9. - Publication Year :
- 2012
-
Abstract
- We report the case of a 40-year-old multiparous woman with fulminant hepatic failure due to acute hepatitis B virus infection who underwent a successful cesarean delivery of a healthy male fetus at 34 weeks, gestation and a few hours thereafter successful salvage orthotopic liver transplantation (OLT). There were no obstetric complications; the neonatal outcome was excellent. At 27 months, follow-up, the patient is doing well, and the newborn exhibits normal development. OLT for acute liver failure during pregnancy is an uncommon occurrence with variable outcomes. This case illustrates the challenge of treating this rare condition and demonstrates that a salvage double surgical approach-emergency delivery and OLT-is a feasible therapeutic option for treatment of these patients.<br /> (Copyright © 2012 Elsevier Inc. All rights reserved.)
- Subjects :
- Acute Disease
Adult
Female
Gestational Age
Hepatitis B complications
Hepatitis B diagnosis
Hepatitis B virology
Humans
Infant, Newborn
Infant, Premature
Liver Failure, Acute diagnosis
Liver Failure, Acute virology
Male
Pregnancy
Pregnancy Complications, Infectious diagnosis
Pregnancy Complications, Infectious virology
Premature Birth
Time Factors
Treatment Outcome
Cesarean Section
Hepatitis B surgery
Liver Failure, Acute surgery
Liver Transplantation
Pregnancy Complications, Infectious surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1873-2623
- Volume :
- 44
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- Transplantation proceedings
- Publication Type :
- Academic Journal
- Accession number :
- 23146518
- Full Text :
- https://doi.org/10.1016/j.transproceed.2012.09.018