Soonchunhyang Med Sci.  2016 Dec;22(2):204-208. 10.0000/sms.2016.22.2.204.

A Case of Idiopathic Acute Hepatitis with Complications in Mid-Trimester Pregnancy

• Jeon HJ
• Ryu A

• KMID: 2387025
• DOI: http://doi.org/10.0000/sms.2016.22.2.204

Abstract

Although liver diseases in pregnancy are rare, they can seriously affect mother and fetus. Although any type of liver disease can develop during pregnancy, it is difficult to identify features of liver disease in pregnant women because of physiological changes. Physiologic changes of pregnancy can be confounding with the symptoms of liver diseases. It can not only complicate mother's life but also burden life of fetus to growth restriction. We describe an uncommon case of acute hepatitis with disseminated intravascular coagulation and clinical chorioamnionitis coincidentally in mid-trimester pregnancy. She experienced the development of acute hepatitis of unknown causes. She presented with fever, maternal tachycardia, and fetal tachycardia. We decided termination of pregnancy because of 16 weeks' gestation. After termination, she was managed about acute hepatitis. So we report our case with a brief reviews of the literature.

Keyword

Hepatitis; Mid-trimester pregnancy; Chorioamnionitis

MeSH Terms

Chorioamnionitis
Disseminated Intravascular Coagulation
Female
Fetus
Fever
Hepatitis*
Humans
Liver Diseases
Mothers
Pregnancy*
Pregnant Women
Tachycardia