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[The treatment of acute fatty liver of pregnancy using plasma exchange]

V Gläser1, M Neumann

  • 1Medizinischen Klinik, Vogtland-Klinikums Plauen.

Zeitschrift Fur Geburtshilfe Und Perinatologie
|November 1, 1991
PubMed

A 33-year-old gravida 6, para 5, developed acute fatty liver of pregnancy at 35 weeks' gestation. This clinical picture was seen after caesarean section and delivery of a healthy infant. Post partum hepatic dystrophy associated with coma hepatica, acute renal failure and disseminated, intravascular coagulation was successfully treated with three large-volume plasmaphereses using FFP exchange plasma in combination with haemodialysis. The patient survived and her liver function was restored to normal.

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