{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:40:39Z","timestamp":1747190439555,"version":"3.40.5"},"reference-count":14,"publisher":"Wiley","license":[{"start":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T00:00:00Z","timestamp":1632960000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Obstetrics and Gynecology"],"published-print":{"date-parts":[[2021,9,30]]},"abstract":"<jats:p>Acute fatty liver of pregnancy is a rare but highly fatal disease affecting women most frequently during the third trimester of pregnancy or in the postpartum period. It is considered a diagnosis of exclusion and requires a timely diagnosis to avoid maternal mortality. We present the case of a 33-year-old primigravida who required an emergency cesarean section due to fetal bradycardia. On postoperative day one, the patient was noted jaundiced, oliguric, and hypoglycemic. Laboratory tests revealed important hepatic dysfunction, coagulopathy, and renal failure. She was admitted to the Intensive Care Unit with the suspicion of acute fatty liver of pregnancy. Plasma exchange was started on postoperative day 5 with major clinical and laboratory improvement. A transjugular hepatic biopsy confirmed the diagnosis. The patient had satisfactory evolution and was discharged 15 days after delivery. Acute fatty liver of pregnancy is a highly morbid disease that needs a high index of suspicion to be diagnosed. Admission to an Intensive Care Unit to ensure maximum supportive care is mandatory in this disease.<\/jats:p>","DOI":"10.1155\/2021\/1143470","type":"journal-article","created":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T22:50:44Z","timestamp":1633042244000},"page":"1-4","source":"Crossref","is-referenced-by-count":1,"title":["A Rare Disease Presenting Postpartum: Acute Fatty Liver of Pregnancy"],"prefix":"10.1155","volume":"2021","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7101-0383","authenticated-orcid":true,"given":"Sof\u00eda","family":"C\u00f3rdoba-Vives","sequence":"first","affiliation":[{"name":"Department of Maternal Fetal Medicine, Rafael Angel Calder\u00f3n Guardia Hospital, San Jos\u00e9, Costa Rica"},{"name":"University of Costa Rica, San Jos\u00e9, Costa Rica"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia","family":"P\u00e9rez-Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"University of Costa Rica, San Jos\u00e9, Costa Rica"},{"name":"Department of Obstetrics and Gynecology, Rafael Angel Calder\u00f3n Guardia Hospital, San Jos\u00e9, Costa Rica"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Astrid","family":"Mar\u00edn-Delgado","sequence":"additional","affiliation":[{"name":"University of Costa Rica, San Jos\u00e9, Costa Rica"},{"name":"Department of Pathology, Rafael Angel Calder\u00f3n Guardia Hospital, San Jos\u00e9, Costa Rica"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miguel","family":"Matus-Vargas","sequence":"additional","affiliation":[{"name":"University of Costa Rica, San Jos\u00e9, Costa Rica"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adriana","family":"Arias-Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"University of Costa Rica, San Jos\u00e9, Costa Rica"},{"name":"Department of Pathology, Rafael Angel Calder\u00f3n Guardia Hospital, San Jos\u00e9, Costa Rica"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2020.1754790"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000012473"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1002\/hep.31144"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-020-02980-2"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000002597"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2010.531325"},{"issue":"15","key":"7","first-page":"39","article-title":"H\u00edgado graso agudo en el embarazo","author":"C. 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Ding","journal-title":"Gynecol Obstet Invest"},{"issue":"3","key":"14","first-page":"12","article-title":"Acute fatty liver of pregnancy","volume":"137","author":"D. B. Nelson","year":"2021","journal-title":"New England Journal of Medicine"}],"container-title":["Case Reports in Obstetrics and Gynecology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/criog\/2021\/1143470.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criog\/2021\/1143470.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criog\/2021\/1143470.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T22:50:48Z","timestamp":1633042248000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/criog\/2021\/1143470\/"}},"subtitle":[],"editor":[{"given":"A. 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