OJOG  Vol.3 No.1 , January 2013
Cryptogenic liver cirrhosis diagnosed in pregnancy and khat consumption
ABSTRACT

We report a case of cryptogenic liver cirrhosis likely due to khat consumption diagnosed in the setting of chronic hypertension and giving the appearance of atypical superimposed preeclampsia.


Cite this paper
Khalife, T. , Goyert, G. , Sangha, R. and Strickler, R. (2013) Cryptogenic liver cirrhosis diagnosed in pregnancy and khat consumption. Open Journal of Obstetrics and Gynecology, 3, 32-34. doi: 10.4236/ojog.2013.31007.
References
[1]   Garitis, S., Sibai, B., Lindheimer, M., Hauth, J., et al. (1998) Risk factors for preeclampsia, abruptio placentae, and adverse neonatal outcomes among women with chronic hypertension. National Institute of Child Health and Human Development Network of Maternal-Fetal Medicine Units. The New England Journal of Medicine, 339, 667-671.

[2]   Caritis, S., Sibai, B., Hauth, J., et al. (1998) Low dose aspirin to prevent preeclampsia in women at risk. National Institute of Child Health and Human Development Network of Maternal-Fetal Medicine Units. The New England Journal of Medicine, 228, 701-705. doi:10.1056/NEJM199803123381101

[3]   Burrows, R.F. and Kelton, J.G. (1990) Thrombocytopenia at delivery: A prospective survey of 6715 deliveries. American Journal of Obstetrics & Gynecology, 162, 731-734.

[4]   Sibai, B.M. and Barton, J.R. (2007) Expectant management of severe Preeclampsia remote from term: Patient selection, treatment, and delivery indications. American Journal of Obstetrics & Gynecology, 196, 514e1-514e9.

[5]   Creasy, R. and Resnik, R. (2009) Diseases of the liver, biliary system, and pancreas. In: Williamson, C. and Mackillop, L. Eds., Maternal-fetal medicine. Principles and practice. 6th Edition, Saunders Elsevier, Philadelphia.

[6]   Caldwell, S.H., Oelsner, D.H., Iezzoni, J.C., Hespenheide, E.E., Battle, E.H. and Driscoll, C.J. (1999) Cryptogenic cirrhosis: Clinical characterization and risk factors for underlying disease. Hepatology, 29, 664-669. doi:10.1002/hep.510290347

[7]   Zheng, R.-Q., Huang, D.-M., Zhang, B., Su, Z.-Z., Kudo, M. and Kawasaki, T. (2005) Comparison of ultrasonography, CT and MRI in the diagnosis of liver cirrhosis. World Chinese Journal of Digestology, 13, 993-996.

[8]   Alsubee, O. (2009) Internal medicine, Erfan Bagedo Hospital, Jeddah, Saudi Arabia: Khat and autoimmune heaptitis in men. The American Journal of Gastroenterology, 104, S117-S160.

[9]   Neil, C. and Gezon, L. (2009) Khat in western Indian Ocean: Regional linkages and disjunctures. Etudes Ocean Indien, 42-43, 416.

[10]   Chapman, M.H., Borges, O’Beirne, J., Crozier, A. and Crozier, A. (2010) Severe, acute liver injury and Khat leaves. The New England Journal of Medicine, 362, 1642-1644.

[11]   Shaheen, A.A.M. and Myers, R.P. (2009) The outcomes of pregnancy in patients with cirrhosis: A population-based study. Liver International, 30, 275-283.

[12]   Mackillop, L. and Williamson, C. (2010) Liver disease in pregnancy. Postgraduate Medical Journal, 86, 160-164. doi:10.1136/pgmj.2009.089631

[13]   Pajor, A. and Lehoczky, D. (1994) Pregnancy in liver cirrhosis-assessment of maternal and fetal risks in eleven patients and review of management. Gynecologic and Obstetric Investigation, 38, 45. doi:10.1159/000292444

 
 
Top