Simsek, YavuzIsik, BurakKaraer, AbdullahCelik, OnderKutlu, RamazanAydin, Nasuhi EnginYilmaz, Sezai2024-08-042024-08-0420121341-8076https://doi.org/10.1111/j.1447-0756.2011.01757.xhttps://hdl.handle.net/11616/95649We present an 18-year-old pregnant woman who was referred to our emergency clinic as a case of acute hepatic failure and hepatic encephalopathy. Laboratory tests showed abnormal liver function tests and serological workup was consistent with acute hepatitis A infection. Ultrasonography revealed a single live fetus with fetal biometry compatible with 18 gestational weeks. The patient underwent a highly urgent liver transplantation using a right lobe graft from her husband. Histological examination of the explanted liver showed acute, lymphocyte-rich, diffuse necrotizing hepatitis, consistent with acute necrotizing hepatitis A. After the operation her allograft function gradually recovered. Her follow-up obstetrics ultrasound revealed a male fetus with severely decreased amniotic fluid. The patient was informed about the poor prognosis of her pregnancy and the pregnancy was terminated by vaginal misoprostol induction. She has maintained a good general condition and liver function for 4 months postoperatively, up to the present time.eninfo:eu-repo/semantics/closedAccesshepatic encephalopathyhepatic failurehepatitis Aliver transplantationpregnancyFulminant hepatitis A infection in second trimester of pregnancy requiring living-donor liver transplantationArticle3847457482237995510.1111/j.1447-0756.2011.01757.x2-s2.0-84860869546N/AWOS:000301926100021Q4