Anesthesia for Cesarean Section in a Patient with Acute Fatty Liver of Pregnancy and Acute Laryngitis: A case report.
10.4097/kjae.1998.34.3.645
- Author:
Jae Hwan KIM
1
;
Il Ok LEE
;
Young Cheol PARK
;
Sang Hee LEE
;
Hai Joong KIM
Author Information
1. Department of Anesthesiology, Korea University Medical College, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Anesthetic techniques: spinal;
Larynx: acute laryngitis;
Liver: acute fatty liver;
Surgery: emergency cesarean section
- MeSH:
Adult;
Alanine Transaminase;
Anesthesia*;
Anesthesia, Spinal;
Aspartate Aminotransferases;
Cesarean Section*;
Diagnosis;
Emergencies;
Fatty Liver*;
Female;
Fever;
Humans;
Labor Pain;
Laryngitis*;
Liver;
Neck Pain;
Partial Thromboplastin Time;
Pregnancy;
Pregnancy*;
Prognosis;
Ultrasonography
- From:Korean Journal of Anesthesiology
1998;34(3):645-649
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 36 year old woman, at 37 week gestation, had admitted to our Obstetric-Gynecology department. On her admission, she complained mild fever, neck pain and severe hoarsness. Laboratory test demonstrated increased level of activated partial thromboplastin time 40.2 second(control 26), aspartate aminotransferase 685 IU/L(normal range 10~50), alanine aminotransferase 404 IU/L(normal range 5~45). The diagnosis, acute fatty liver of pregnancy was made by ultrasound of the liver and clinical and laboratory findings. Also the diagnosis, acute laryngitis was made by laryngoscopic and clinical and laboratory findings. On her 3rd day of admission, she complained labor pain. An emergency cesarean section was performed under spinal anesthesia. After delivery, her postoperative prognosis was uneventful, and she discharged from the hospital on postoperative 8th days.
