Hepatic Infarction Associated with Eclampsia

K. J. Krueger, B. J. Hoffman, W. M. Lee

Research output: Contribution to journalArticlepeer-review

27 Scopus citations


Pregnancy‐related liver diseases are complex in presentation and oftentimes confusing to clinicians, leading to misdiagnoses and unwarranted or delayed therapies. The exact pathogenesis of these disorders and their relationship to preeclampsia/eclampsia is unclear, thus making categorization difficult. We present a patient who in the third trimester of pregnancy developed severe abdominal pain, fever and transaminases greater than 30 times normal. The patient's laboratory data, abdominal CT scan, abdominal MRI scan, liver‐spleen scan and liver biopsy performed 28 days postpartum subsequently confirmed the diagnosis of hepatic infarction. Hepatic infarction is a rare complication of late pregnancy usually associated with severe eclampsia that has distinctive histologic and laboratory findings. Recognition of infarction as a separate entity among the spectrum of the pregnancy‐related liver disorders should help avoid unneeded delay in diagnosis or inappropriate treatment of these critically ill patients.

Original languageEnglish (US)
Pages (from-to)588-592
Number of pages5
JournalThe American Journal of Gastroenterology
Issue number5
StatePublished - May 1990

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology


Dive into the research topics of 'Hepatic Infarction Associated with Eclampsia'. Together they form a unique fingerprint.

Cite this