, Volume 30, Issue 1, pp 57-61

Measurement of left portal vein blood-flow velocity by Doppler sonography in a patient with acute fatty liver of pregnancy

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Acute fatty liver of pregnancy was diagnosed in a 32-year-old primipara in her 34th week of gestation. The pulsed Doppler sonogram showed that mean maximum portal blood-flow velocity obtained at the umbilical-point of the left portal vein (the U-point) decreased during the acute phase of the disease and returned to the normal range accompanied by improvement in her condition. Findings of portal blood dynamics obtained by pulsed Doppler sonography and those of the hyperechoic hepatic parenchyma obtained by conventional sonography could prove useful in following up patients in their third trimester of pregnancy.