<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412021000500415</article-id>
<article-id pub-id-type="doi">10.24245/gom.v89i5.4791</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hígado graso agudo del embarazo: caso clínico con inicio en el postparto]]></article-title>
<article-title xml:lang="en"><![CDATA[Acute fatty liver of pregnancy: A postpartum onset case.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cebolla-Gil]]></surname>
<given-names><![CDATA[Paula]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villalobos-Salguero]]></surname>
<given-names><![CDATA[Francisco Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz-Rabasa]]></surname>
<given-names><![CDATA[María Beatriz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herrero-Serrano]]></surname>
<given-names><![CDATA[Rebeca]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortega-Marcilla]]></surname>
<given-names><![CDATA[Silvia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Solanilla]]></surname>
<given-names><![CDATA[Belén]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Miguel Servet Servicio de Obstetricia y Ginecología ]]></institution>
<addr-line><![CDATA[Zaragoza ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital San Pedro de Logroño Servicio de Obstetricia y Ginecología ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<volume>89</volume>
<numero>5</numero>
<fpage>415</fpage>
<lpage>419</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412021000500415&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412021000500415&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412021000500415&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  ANTECEDENTES: El hígado graso agudo del embarazo es una enfermedad rara, potencialmente mortal, específica del embarazo y de causa aún desconocida. Cursa con microesteatosis hepática; típicamente se manifiesta en el tercer trimestre del embarazo y es de carácter reversible posparto. La clínica suele ser inespecífica, con pródromos digestivos.  CASO CLÍNICO: Paciente de 36 años que, luego de un parto en la semana 37, inició con picos febriles, valores de transaminasas progresivamente elevadas, alteraciones en la glucemia y en la coagulación, leucocitosis e hiperbilirrubinemia. Fue necesario ingresarla a la unidad de cuidados intensivos. Ante la persistencia del cuadro llegó a plantearse la necesidad de un trasplante hepático que, finalmente, no fue necesario gracias a la progresiva mejoría secundaria al tratamiento de soporte con antibiótico, trasfusión de plasma fresco, administración de fibrinógeno y vitamina K. Se estableció el diagnóstico diferencial con preeclampsia y síndrome de HELLP; al final se estableció el diagnóstico de hígado graso agudo del embarazo.  CONCLUSIONES: La manifestación clínica del hígado graso agudo del embarazo es muy variable e inespecífica, su inicio en el posparto inmediato es posible. La atención médica multidisciplinaria y el tratamiento de soporte son decisivos para una evolución favorable.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  BACKGROUND: Acute fatty liver disease of pregnancy is a rare, life-threatening, pregnancy-specific disease of unknown cause. It presents with hepatic microsteatosis, typically manifests in the third trimester of pregnancy and is reversible postpartum. The clinical presentation is usually nonspecific, with digestive prodromes.  CLINICAL CASE: 36-year-old female patient who, after a 37th week delivery, started with febrile peaks, progressively elevated transaminase values, alterations in glycemia and coagulation, leukocytosis and hyperbilirubinemia. It was necessary to admit her to the intensive care unit. Given the persistence of the condition, the need for a liver transplant was considered, but finally it was not necessarily due to the progressive improvement secondary to antibiotic support treatment, fresh plasma transfusion, fibrinogen and vitamin K administration. The differential diagnosis was established with preeclampsia and HELLP syndrome; in the end the diagnosis of acute fatty liver of pregnancy was established.  CONCLUSIONS: The clinical manifestation of acute fatty liver of pregnancy is highly variable and nonspecific; onset in the immediate postpartum period is possible. Multidisciplinary medical care and supportive treatment are decisive in the favorable evolution.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Embarazo]]></kwd>
<kwd lng="es"><![CDATA[transaminasas]]></kwd>
<kwd lng="es"><![CDATA[trasplante de hígado]]></kwd>
<kwd lng="es"><![CDATA[tratamiento con antibiótico]]></kwd>
<kwd lng="es"><![CDATA[hígado graso agudo del embarazo]]></kwd>
<kwd lng="es"><![CDATA[preeclampsia]]></kwd>
<kwd lng="es"><![CDATA[síndrome de HELLP]]></kwd>
<kwd lng="en"><![CDATA[Pregnancy]]></kwd>
<kwd lng="en"><![CDATA[Transaminase]]></kwd>
<kwd lng="en"><![CDATA[Liver transplant]]></kwd>
<kwd lng="en"><![CDATA[Antibiotic treatment]]></kwd>
<kwd lng="en"><![CDATA[Acute fatty liver of pregnancy]]></kwd>
<kwd lng="en"><![CDATA[Preeclampsia]]></kwd>
<kwd lng="en"><![CDATA[HELLP syndrome]]></kwd>
</kwd-group>
</article-meta>
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