Acute fatty liver of pregnancy cases in a maternal and child health hospital of China: Three case reports.

Abstract:

RATIONALE:Acute fatty liver of pregnancy (AFLP) is extremely hazardous to pregnant woman in the 3rd trimester of pregnancy. AFLP has an insidious onset and nonspecific experimental indicators, which therefore is difficult to be diagnosed. PATIENT CONCERNS:Case 1 was transferred to our hospital for hypertensive disorders complicating pregnancy at gestation of 38 weeks + 3 days. Case 2 was transferred to our hospital for suspicious fetal heart monitoring response at gestation of 36 weeks + 4 days. Case 3 was transferred to our hospital for prelabor rupture of membranes at gestation of 37 weeks + 1 days. DIAGNOSIS:The diagnosis of AFLP was based on the Swansea criteria. INTERVENTIONS:All 3 cases were delivered by cesarean section, and they were all transferred to intensive care unit for further treatment. Cases 2 and 3 were subjected to plasma exchange and continuous renal replacement therapy. OUTCOMES:In this study, all 3 patients were initially diagnosed as gastritis. In addition, case 1 was diagnosed as preeclampsia and her AFLP was misdiagnosed with postpartum hemorrhage after cesarean delivery. Case 2 was admitted to the hospital for intrahepatic cholestasis of pregnancy and fetal distress, but we considered it as AFLP before delivery. Case 3 was treated according to severe intrahepatic cholestasis of pregnancy, but we rediagnosed it as postpartum hemorrhage and disseminated intravascular coagulation after cesarean delivery. Neonatal asphyxia and complications were not found. All of the 3 cases were fully recovered and discharged from our hospital. LESSONS:If there are multiple risk factors including vomiting, abdominal pain, and fetal distress, AFLP should be highly suspected. Early diagnosis, especially before termination of pregnancy, is the key to successful treatment of AFLP.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Wang L,Gan Q,Du S,Zhao Y,Sun G,Lin Y,Li R

doi

10.1097/MD.0000000000021110

subject

Has Abstract

pub_date

2020-07-17 00:00:00

pages

e21110

issue

29

eissn

0025-7974

issn

1536-5964

pii

00005792-202007170-00055

journal_volume

99

pub_type

杂志文章

相关文献

MEDICINE文献大全
  • Hedgehog Signaling in Pancreatic Fibrosis and Cancer.

    abstract::The hedgehog signaling pathway was first discovered in the 1980s. It is a stem cell-related pathway that plays a crucial role in embryonic development, tissue regeneration, and organogenesis. Aberrant activation of hedgehog signaling leads to pathological consequences, including a variety of human tumors such as pancr...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0000000000002996

    authors: Bai Y,Bai Y,Dong J,Li Q,Jin Y,Chen B,Zhou M

    更新日期:2016-03-01 00:00:00

  • Differential Postoperative Effects of Volatile Anesthesia and Intraoperative Remifentanil Infusion in 7511 Thyroidectomy Patients: A Propensity Score Matching Analysis.

    abstract::Although remifentanil is used widely by many clinicians during general anesthesia, there are recent evidences of opioid-induced hyperalgesia as an adverse effect. This study aimed to determine if intraoperative remifentanil infusion caused increased pain during the postoperative period in patients who underwent a thyr...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000002764

    authors: Jo JY,Choi SS,Yi JM,Joo EY,Kim JH,Park SU,Sim JH,Karm MH,Ku S

    更新日期:2016-02-01 00:00:00

  • A Cross-Sectional Comparison of Perceived Quality of Primary Care by Hypertensive Patients in Shanghai and Shenzhen, China.

    abstract::Hypertension should be best managed under primary care settings. This study aimed to compare, between Shanghai and Shenzhen, the perceived quality of primary care in terms of accessibility, continuity, co-ordination, and comprehensiveness among hypertensive patients.A cross-sectional study was conducted in Shanghai an...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000001388

    authors: Li H,Wei X,Wong MC,Wong SY,Yang N,Griffiths SM

    更新日期:2015-08-01 00:00:00

  • Comparison of the efficacy of Gd-EOB-DTPA-enhanced magnetic resonance imaging and magnetic resonance elastography in the detection and staging of hepatic fibrosis.

    abstract::The present study compared the efficacy of gadolinium ethoxybenzyl diethylenetriamine pentaacetic acid (Gd-EOB-DTPA)-enhanced magnetic resonance imaging (MRI) and magnetic resonance elastography (MRE) in the estimation of hepatic fibrosis stages with histopathologic correlation.This retrospective study included 104 pa...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000008339

    authors: Wu WP,Hoi CI,Chen RC,Lin CP,Chou CT

    更新日期:2017-10-01 00:00:00

  • Epidemic classical heat stroke: clinical characteristics and course of 28 patients.

    abstract::Patients with classical heat stroke are different in many ways from those with exertional injury; contrasts included difference in demographic factors, prior general health, in-hospital complications and laboratory abnormalities (lactate, liver enzymes, pH, electrolytes). Severe hyperkalemia, acute renal failure, rhab...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:

    authors: Hart GR,Anderson RJ,Crumpler CP,Shulkin A,Reed G,Knochel JP

    更新日期:1982-05-01 00:00:00

  • Impacts of time interval on 18F-FDG uptake for PET/CT in normal organs: A systematic review.

    abstract:BACKGROUND:To perform a systematic review of the effect of time interval on 2-deoxy-2-[18F] fluoro-D-glucose (18F-FDG) uptake in normal organs. METHODS:PubMed, EMBASE, Ovid, and Cochrane databases were searched to identity all potential eligible literature. The study characteristics and relevant data were extracted an...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000013122

    authors: Wang R,Chen H,Fan C

    更新日期:2018-11-01 00:00:00

  • The effects of blood pressure components on cardiovascular events in a Korean hypertensive population according to age and sex: A nationwide population-based cohort study.

    abstract::There is no known study regarding the usefulness of each blood pressure (BP) component based on stratification by age and sex for predicting cardiovascular (CV) events among hypertensive populations without chronic kidney disease (CKD) or diabetes mellitus (DM). This study was performed to investigate the association ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000016676

    authors: Kang E,Lee S,Ha E,Oh HJ,Ryu DR

    更新日期:2019-08-01 00:00:00

  • Sudden death due to traumatic ascending aortic pseudoaneurysms ruptured into the esophagus: 2 case reports.

    abstract::We present 2 rare cases of patients with uncontrolled hemorrhagic shock induced by traumatic ascending aortic pseudoaneurysm rupture into the esophagus. Two men were presented to the hospital after traffic accidents. Their chest radiograph showed no obvious signs of aortic damage or aortic pseudoaneurysms but only a s...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000000716

    authors: He S,Chen X,Zhou X,Hu Q,Ananda S,Zhu S

    更新日期:2015-04-01 00:00:00

  • Pathological fracture of the mandible caused by radicular cyst: A case report and literature review.

    abstract:RATIONALE:Pathological fracture of the mandible caused by radicular cyst is rare. This report describes a unique case of a mandibular pathological fracture caused by radicular cyst, arising from an endodontically treated molar. PATIENT CONCERN:A 49-year-old female was referred to our department with persistent pain in...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0000000000013529

    authors: Xiao X,Dai JW,Li Z,Zhang W

    更新日期:2018-12-01 00:00:00

  • Qishen Yiqi dripping pills for ischemic heart failure: A protocol for a prospective cohort study.

    abstract:BACKGROUND:The prognosis of ischemic heart failure (IHF) is worse than non-IHM. Improving the management of IHF remains an urgent demand. In recent years, Qishen Yiqi dripping pills (QSYQ), a type of Chinese herbal medicine (CHM), has been popular for IHF combined with standard western medicine. However, relevant scien...

    journal_title:Medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/MD.0000000000013085

    authors: Zhao Z,Wang X,Hou Y,Wang S,Zhai J,Wang C,Mao J,Zhang B

    更新日期:2018-11-01 00:00:00

  • Increased risk of ventricular tachycardia and cardiovascular death in patients with myocarditis during the long-term follow-up: A national representative cohort from the National Health Insurance Research Database.

    abstract::The incidence of acute myocarditis complicated with ventricular tachycardia (VT) is unknown. This study aimed to investigate the association between myocarditis and the incidence of VT and mortality. We also aimed to determine the independent predictors that increased the VT risk in those patients. From 2000 to 2004, ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000006633

    authors: Te ALD,Wu TC,Lin YJ,Chen YY,Chung FP,Chang SL,Lo LW,Hu YF,Tuan TC,Chao TF,Liao JN,Chien KL,Lin CY,Chang YT,Chen SA

    更新日期:2017-05-01 00:00:00

  • Use of the SYNTAX Score II to predict mortality in interventional cardiology: A systematic review and meta-analysis.

    abstract:BACKGROUND:As the SYNTAX Score has limitations, it should be replaced by another better angiographic tool. By comparing mortality that was observed following percutaneous coronary intervention (PCI) in patients who were allotted a low versus a high score, we aimed to systematically investigate mortality prediction usin...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000014043

    authors: Yang H,Zhang L,Xu CH

    更新日期:2019-01-01 00:00:00

  • Comparison Between Ultrasound-Guided Supraclavicular and Interscalene Brachial Plexus Blocks in Patients Undergoing Arthroscopic Shoulder Surgery: A Prospective, Randomized, Parallel Study.

    abstract::Although supraclavicular brachial plexus block (SCBPB) was repopularized by the introduction of ultrasound, its usefulness in shoulder surgery has not been widely reported. The objective of this study was to compare motor and sensory blockades, the incidence of side effects, and intraoperative opioid analgesic require...

    journal_title:Medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MD.0000000000001726

    authors: Ryu T,Kil BT,Kim JH

    更新日期:2015-10-01 00:00:00

  • Natural history of adults with congenitally malformed aortic valves (unicuspid or bicuspid).

    abstract::Appreciation of the frequency of the congenitally malformed aortic valve has come about during the last 50 years, a period during which aortic valve replacement became a predictably successful operation. Study of patients at necropsy with either a congenitally unicuspid (1 true commissure) or bicuspid (2 true commissu...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0b013e3182764b84

    authors: Roberts WC,Vowels TJ,Ko JM

    更新日期:2012-11-01 00:00:00

  • Solitary rectal ulcer syndrome: A systematic review.

    abstract:BACKGROUND:Solitary rectal ulcer (SRUS) may mislead the inflammatory bowel disease (IBD) or rectal polyps, which may reduce the actual prevalence of it. Various treatments for SRUS have been described that can be referred to therapeutic strategies such as biofeedback, enema of corticosteroid, topical therapy, and recta...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0000000000010565

    authors: Forootan M,Darvishi M

    更新日期:2018-05-01 00:00:00

  • Multiple 18F-Fluorodeoxyglucose Positron Emission Tomography Scans Showing Progression of Abdominal Aortic Aneurysm: A Case Report.

    abstract::Although the precise mechanisms underlying the pathogenesis of abdominal aortic aneurysm (AAA) remain unclear, aortic wall inflammation has been implicated in AAA development. Several studies have reported the use of fluoro-deoxyglucose (F-FDG)/positron emission tomography (PET) to assess the nature of AAA.We present ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000003650

    authors: Tsuruda T,Nagamachi S,Nishimura M,Nakamura K,Kitamura K

    更新日期:2016-05-01 00:00:00

  • Diurnal variations in blood flow at optic nerve head and choroid in healthy eyes: diurnal variations in blood flow.

    abstract::To investigate the diurnal variations of the ocular blood flow in healthy eyes using laser speckle flowgraphy (LSFG), and to determine the relationship of the diurnal variations between the ocular blood flow and other ocular parameters.This prospective cross-sectional study was conducted at Nagoya University Hospital....

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000000519

    authors: Iwase T,Yamamoto K,Ra E,Murotani K,Matsui S,Terasaki H

    更新日期:2015-02-01 00:00:00

  • Echocardiography and Electrocardiography Variables Correlate With the New York Heart Association classification: An Observational Study of Ischemic Cardiomyopathy Patients.

    abstract::The aim of our study was to determine whether combinations of ultrasound echocardiography (UCG) and electrocardiography (EKG) parameters correlated with the functional status of ischemic cardiomyopathy (ICM) patients according to the New York Heart Association (NYHA) classification system.We assessed 536 elderly Chine...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000007071

    authors: Hu Y,Jiang S,Lu S,Xu R,Huang Y,Zhao Z,Qu Y

    更新日期:2017-06-01 00:00:00

  • Recovery of akinetic mutism and injured prefronto-caudate tract following shunt operation for hydrocephalus and rehabilitation: A case report.

    abstract:RATIONALE:A 76-year-old female patient was diagnosed with an aneurysmal subarachnoid hemorrhage following rupture of a right posterior communicating artery aneurysm. PATIENT CONCERNS:She was treated surgically with clipping of the aneurysmal neck. Six months after onset, when starting rehabilitation at our hospital, s...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000009117

    authors: Jang SH,Chang CH,Jung YJ,Lee HD

    更新日期:2017-12-01 00:00:00

  • Induction of apoptosis by Xiakemycin A in human hepatoma HepG2 cells.

    abstract::Xiakemycin A (XKA), a new antibiotic in the pyranonaphthoquinone family, shows antitumor activity. However, the type of cell death induced by XKA remains elusive. In this study, we aim to investigate the type of death induced by XKA in hepatic cancer.The apoptotic features, such as chromatic agglutination, reactive ox...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000019848

    authors: Chen C,Han Z,Yang M,Jiang Z,Ou X

    更新日期:2020-04-01 00:00:00

  • Comparison of psychiatric disturbances in patients with multiple sclerosis and neuromyelitis optica.

    abstract::Although both multiple sclerosis (MS) and neuromyelitis optica (NMO) are demyelinating diseases, their psychiatric disturbances may differ given differences in the neurological manifestations. We used subjective and objective measurements to compare the psychiatric disturbances in patients with MS and NMO.Psychiatric ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000017184

    authors: Shin JS,Kwon YN,Choi Y,Lee JY,Lee YI,Hwang JH,Choi SH,Kim SM

    更新日期:2019-09-01 00:00:00

  • Erector spinae plane block for multimodal analgesia after wide midline laparotomy: A case report.

    abstract:RATIONALE:The most commonly used regional techniques for analgesia following laparotomy thoracic epidural analgesia and paravertebral blocks are technically difficult to perform and carry a risk of severe complications. Recently, the erector spinae plane block (ESPB) has been reported to effectively treat neuropathic p...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000015654

    authors: Bang S,Chung J,Kwon W,Yoo S,Soh H,Lee SM

    更新日期:2019-05-01 00:00:00

  • Improving functional outcome and quality of life for patients with metastatic lesion of acetabulum undergoing cement augmentation.

    abstract::There is an increased enthusiasm in treating osteolytic metastatic acetabulum via injecting polymethyl-methacrylate (PMMA) as a bone filler to provide pain relief and potential structural support. The aim of this respective study is to determine the function and quality of life improvement after cement acetabuloplasty...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000017029

    authors: Yan T,Zhao Z,Tang X,Guo W,Yang R,Tang S,Dong S

    更新日期:2019-09-01 00:00:00

  • Relapsing granulomatosis with polyangiitis provoked by trauma: A case report.

    abstract:RATIONALE:The precise cause of granulomatosis with polyangiitis (GPA) remains unclear. Herein we present a case of refractory GPA occurring after trauma. PATIENT CONCERNS:A 43-year-old man suffered fractures of the left orbital in an accident, and then received surgical repair. At a postoperative follow-up, he develop...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000014189

    authors: Deng S,Xing Y,Wang H,Kong X

    更新日期:2019-01-01 00:00:00

  • Correlation Between Bladder Pain Syndrome/Interstitial Cystitis and Pelvic Inflammatory Disease.

    abstract::Pelvic inflammatory disease (PID) has been investigated in Western countries and identified to be associated with chronic pelvic pain and inflammation. Bladder pain syndrome/interstitial cystitis (BPS/IC) is a complex syndrome that is significantly more prevalent in women than in men. Chronic pelvic pain is a main sym...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000001878

    authors: Chung SD,Chang CH,Hung PH,Chung CJ,Muo CH,Huang CY

    更新日期:2015-11-01 00:00:00

  • Treatment of distal radioulnar joint dislocation with spontaneous rupture of extensor tendon by Sauve-Kapandji osteotomy assisted by wrist arthroscopy: A case series and literature review.

    abstract:RATIONALE:Dislocation of the distal radioulnar joint and injury to distal forearm are commonly encountered. However, delayed diagnosis or misdiagnosis has been relatively rare due to improved diagnosis and treatment. Treatment of old dislocation of radioulnar joint is challenging due to development of secondary chronic...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000010752

    authors: Qian H,Chen G,Liu Z

    更新日期:2018-06-01 00:00:00

  • Influence of SIRT1 polymorphisms for diabetic foot susceptibility and severity.

    abstract::The present study aimed to explore the influence of sirtuin 1 (SIRT1) polymorphisms (rs12778366 and rs3758391) on diabetic foot (DF) susceptibility and severity in patients with type 2 diabetes mellitus (T2DM).This case-control study recruited 142 patients with DF, 148 patients with T2DM, and 148 healthy controls. SIR...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000011455

    authors: Peng Y,Zhang G,Tang H,Dong L,Gao C,Yang X,Peng Y,Xu Y

    更新日期:2018-07-01 00:00:00

  • Impressive long-term response with chemo-endocrine therapy in a premenopausal patient with metastatic breast cancer: A case report.

    abstract:RATIONALE:Patients with, or who develop, metastatic breast cancer have a 5-year relative survival of about 25%. Endocrine therapy clearly improves outcomes in patients with estrogen receptor-positive breast cancer. In the metastatic setting, the primary goal of treatment is to maintain long-term disease control with go...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000020396

    authors: Maltoni R,Palleschi M,Gallerani G,Bravaccini S,Cecconetto L,Melegari E,Altini M,Rocca A

    更新日期:2020-06-12 00:00:00

  • A case report of pelviscopic resection of invasive hydatidiform mole.

    abstract:RATIONALE:Invasive moles occur in the fertile period, with about 95% occurring after previous mole removal and the remaining 5% occurring after several other pregnancies. PATIENT CONCERNS:A 27-year-old patient developed a rare invasive mole two months after a missed abortion. DIAGNOSES:A transvaginal ultrasound scan ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000017565

    authors: Lee HJ,Kim YS

    更新日期:2019-10-01 00:00:00

  • Nivolumab therapy for metastatic collecting duct carcinoma after nephrectomy: A case report.

    abstract:RATIONALE:Collecting duct carcinoma (CDC) is a rare type of nonclear renal cell carcinoma, often presenting at an advanced stage of the disease, and standard treatment guidelines have not been established. PATIENT CONCERNS:A 73-year-old man was admitted to our hospital with complaints of fever and lower right back pai...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000013173

    authors: Yasuoka S,Hamasaki T,Kuribayashi E,Nagasawa M,Kawaguchi T,Nagashima Y,Kondo Y

    更新日期:2018-11-01 00:00:00