A Case of Acute Fatty Metamorphosis.

Lee, Jae Kwan; Park, Jae Hun; Lee, Yong Ho; Jung, Kyeng Woo; Lee, Kwang Ho; Oh, Min Jung; Suh, Ho Suk

Case Report

Korean Journal of Obstetrics & Gynecology 1997;40(2):419-423.
Published online January 1, 2001.

A Case of Acute Fatty Metamorphosis.

Jae Kwan Lee, Jae Hun Park, Yong Ho Lee, Kyeng Woo Jung, Kwang Ho Lee, Min Jung Oh, Ho Suk Suh

Department of Obstetrics and Gynecology, School of Medicine, Korea University, Seoul, Korea.

Abstract

Acute fatty metamorphosis is a rare but potentially fatal complication of the third trimester of pregnancy. In 20~40% of cases, acute fatty metamorphosis is associated with preeclampsia and may be difficult to distinguish from preeclamptic liver involvement. Recent reports suggest that the mortality has decreased to 25% fo both mother and fetus, due to largely to early delivery and to the recognition of a higher proportion of mild and nonfatal cases. We experienced one case of acute fatty liver metamorphosis that caused fulminant hepatitis and complete resolution, so we report the case and review of literature briefly.

Key Words: Acute fatty metamorphosis