EDITOR'S QUIZ: GI SNAPSHOT.... Liver failure after delivery

May 2005
Gut;May2005, Vol. 54 Issue 5, p672
Academic Journal
The article frames a question after discussing a case of liver failure after delivery. A 32 year old, gravida 2, para 2, was admitted at 36 weeks' gestation with upper abdominal pain. During her second pregnancy she frequently had epistaxis. At 39 weeks' gestation she delivered a healthy girl after an elective caesarean section which was complicated by a total blood loss of 1.5 liters. Continuing abdominal bleeding was suspected and at laparotomy 5 liters of blood were found in the abdominal cavity from sites of recently lysed adhesions. On day 4 post partum, liver failure worsened with grade IV encephalopathy necessary to perform an orthotopic liver transplantation. The procedure was complicated by severe intraoperative bleeding (30 liters).


Related Articles

  • Use of a 2 hour partogram action line instead of a 4 hour action line did not reduce caesarean delivery rate. Lavender, T.; Alfirevic, Z.; Walkinshaw, S. // Evidence Based Medicine;Apr2007, Vol. 12 Issue 2, p46 

    The article presents a study on the effect of a 2 hour partogram action line on primiparous women in preventing cesarian delivery as compared with a 4 hour action line. The study involved 3,000 primigravid women in spontaneous labor of which duration of labor, use of epidural analgesia or...

  • Unwanted caesarean sections among public and private patients in Brazil: prospective study. Potter, Joseph E; Berquo, Elza; Perpetuo, Ignez H O; Fachel Leal, Ondina; Hopkins, Kristine; Souza, Marta Rovery; de Carvalho Formiga, Maria Celia // BMJ: British Medical Journal (International Edition);11/17/2001, Vol. 323 Issue 7322, p1155 

    Objective: To assess and compare the preferences of pregnant women in the public and private sector regarding delivery in Brazil. Design: Face to face structured interviews with women who were interviewed early in pregnancy, about one month before the due date, and about one month post partum....

  • Why Brazilian women want caesareans. Robinson, Jean // AIMS Journal;2002, Vol. 14 Issue 1, p19 

    Discusses findings of a study designed to determine why caesarean delivery is popular among Brazilian women. Caesarean rates in Brazil; Demographic profile of women who prefer caesarean; Advantages of a caesarean over vaginal birth; Reasons for attempts to avoid a vaginal birth.

  • Caesarean section scar depicted in a ca. 2,500-year-old kylix. Moragas, Augusto // Archives of Gynecology & Obstetrics;Jun2012, Vol. 285 Issue 6, p1763 

    No abstract available.

  • Myxoglobulosis of the Appendix in a Postpartum Patient. Case, Ashley S.; Rocconi, Rodney P.; Conner, Michael G.; Blackwell, Richard E.; Dharia, Sejal // Journal of Gynecologic Surgery;Winter2004, Vol. 20 Issue 4, p127 

    A 23-year-old female underwent a cesarean section for breech presentation at term. Her postpartum course was complicated by multiple admissions for pelvic pain presumed to be endometritis. Her symptoms were temporarily alleviated with intravenous antibiotics during each hospitalization. Imaging...

  • commentary. Schwartz, Peter // Hastings Center Report;Mar/Apr2004, Vol. 34 Issue 2, p14 

    Elaborates the moral implications of elective cesarean operation. Differences between vaginal birth and cesarean operation; Considerations that physicians need to address.

  • Free Cesarean Booklet From Maternity Center Assn. Napoli, Maryann // HealthFacts;May2004, Vol. 29 Issue 5, p2 

    Reports on the need for every pregnant women in the U.S. to consider and prepare for the possibility of undergoing a cesarean section. Rate of cesarean sections in the U.S. in 2002; Reason given by pregnant women for demanding a cesarean operation; Risks posed by a cesarean operation to newborn...

  • A Case of Acute Lung Injury after Transfusion during Cesarean Section. Hee Jung Lee; Mi Ae Jeong; Ji Seon Jeong; Min Kyu Han; Jong Hun Jun // Korean Journal of Critical Care Medicine;2011, Vol. 26 Issue 3, p184 

    Transfusion-related acute lung injury (TRALI) is a serious complication following the transfusion of blood products. TRALI is under-diagnosed and under-reported because of a lack of awareness. TRALI occurs within 6 hours of transfusion in the majority of cases and its presentation is similar to...

  • Untitled.  // Time International (South Pacific Edition);9/19/2005, Issue 37, p67 

    The article presents statistics on caesarean section including the increase from 2001 to 2003 in the percentage of pregnant women in the U.S. who opted to have elective caesarean sections over natural delivery, and the percentage increase in elective caesarean sections from 1999 to 2001 in the...


Read the Article


Sign out of this library

Other Topics