Hypoxic-Ischemic Hepatitis Associated with Obstetric Hemorrhage
Reporte de Caso Hepatitis hipóxico-isquémica en el posparto
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Introduction: Hypoxic hepatitis is liver damage resulting from centrilobular ischemia. Clinical case: We present the case of a 38-year-old patient, at 35,50 weeks of gestation, diagnosed with premature rupture of membranes and scheduled for cesarean section. She developed postpartum hemorrhage, leading to multiple organ failure, hypoxic-ischemic hepatitis, and coagulopathy. Results: Treatment included renal replacement therapy, prothrombin factors, and erythropoietin, which controlled the bleeding. By day seven, aminotransferases decreased. Conclusions: Early recognition of diagnostic criteria and prompt resolution of the underlying cause are crucial for the prognosis of hypoxic hepatitis in pregnancy.
Keywords: Liver failure acute, Pregnancy, Postpartum hemorrhage, Case report, therapeutics, differential diagnosis.
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