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Acute fatty liver of pregnancy with hepatic coma and mallory-weiss syndrome: Report of a case

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Summary

A case of acute fatty liver of pregnancy with unusual complications is presented. These include upper gastrointestinal bleeding due to a Mallory-Weiss lesion, coagulation disturbances, and hepatic encephalopathy with hyperammonemia. The patient survived after massive corticosteroid therapy.

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We are indebted to Dr. Robert Goldstein, Chief of the Section of Hematology, Department of Medicine, for the extensive hematologic studies in this case, and to Dr. Hans Popper, Director, Department of Pathology, Mount Sinai Hospital, for his aid in the interpretation of the liver biopsy.

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Douvres, P.A., Rosenthal, W.S., Metzger, P. et al. Acute fatty liver of pregnancy with hepatic coma and mallory-weiss syndrome: Report of a case. Digest Dis Sci 10, 306–313 (1965). https://doi.org/10.1007/BF02233422

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