Successful liver transplantation and delivery in a woman with fulminant hepatic failure occurring during the second trimester of pregnancy
Loading...
Date
2006
Journal Title
Journal ISSN
Volume Title
Publisher
WILEY
Abstract
Background: Severe liver dysfunction occurring during pregnancy is an unusual but dramatic event that poses special technical and ethical issues because it involves two lives. Methods an Results: We report the case of a 35-year-old woman with cryptogenic fulminant hepatic failure who underwent successful orthotopic liver transplantation at 22 weeks of pregnancy. After a relatively uneventful post-operative course she delivered a normal offspring at the 27th week of gestation. There were no obstetrical complications and neonatal outcome was excellent. After a year of follow-up, the patient is doing well,and the newborn has exhibited normal psychomotor and weight/height development. Conclusions: This case illustrates the challenge of treating fulminant hepatic failure during pregnancy and demonstrates that liver transplantation is a feasible therapeutic option for treatment of patients with this condition, allowing successful completion of pregnancy.
Description
Keywords
acute liver failure, high-risk pregnancy, liver transplantation, PARVOVIRUS B19 DNA, PERSISTENCE, DYSFUNCTION, MANAGEMENT, TACROLIMUS, RECIPIENTS, PATIENT