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Re: jaundice complicating pregnancy From: Bernard Cristalli (bcrist@club-internet.fr) Sat May 23 08:00:05 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Geffrey Klein: "OB: Case posted, suggestions solicited" Previous message: wahidasuresh: "jaundice complicating pregnancy" Maybe in reply to: wahidasuresh: "jaundice complicating pregnancy" wahidasuresh wrote: > > Case History > > 22 year old female with IUD and Hepatitis C infection with marked > Jaundice( S.bilirubin 22.8 mG%) expelled a dead born foetus 4 hours > after admission.She went in for PPH which was controlled with fresh > blood,oxytocin and prostaglandins. > 12 hrs after delivery she became disoreinted and was started on > anti-oedema measures of brain.Improved clinically.3 days later developed > abdominal distension and a peritoneal tap showed haemorhaggic > ascites.(Tapped to aleviate respiratory distress) > She went in for transient anuria and she has recovered well > All her coagulation and bleeding parameters are within normal > limits.S.bilirubin has come down to 14.5% > She continues to bleed from vaginal in spite of general and local > measures including aminocaproic acid pack. > -- Hi, I don't clearly see where the problem is. Apparently everything seems to be back in order. If the problem is the bleeding you'll need to have an active attitude: arterial embolization, arterial ligation or hysterectomy. If the problem is liver function (what is her liver function), a graft may be useful. BTW what do you use aminocaproic acid for? -- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm Next message: Geffrey Klein: "OB: Case posted, suggestions solicited" Previous message: wahidasuresh: "jaundice complicating pregnancy" Maybe in reply to: wahidasuresh: "jaundice complicating pregnancy"

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