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Liver failure after delivery
  1. C J M de Groot1,
  2. G M van Goor1,
  3. M F Stolk2,
  4. H J Metselaar2,
  5. H L A Janssen2,
  6. G Kazemier3,
  7. P E Zondervan4,
  8. I R Wanless5
  1. 1Department of Obstetrics and Gynaecology, Erasmus Medical Centre Rotterdam, the Netherlands
  2. 2Department of Hepatology, Erasmus Medical Centre Rotterdam, the Netherlands
  3. 3Department of Surgery, Erasmus Medical Centre Rotterdam, the Netherlands
  4. 4Department of Pathology, Erasmus Medical Centre Rotterdam, the Netherlands
  5. 5Department of Pathology, Toronto General Hospital, Toronto, Ontario, Canada, and University of Toronto, Toronto, Canada
  1. Correspondence to:
    Dr C J M de Groot
    Department of Obstetrics and Gynaecology, Erasmus Medical Centre Rotterdam, SKZ 4130, Dr Molewaterplein 60, 3015 GJ Rotterdam, the Netherlands; cdegrootknoware.nl

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Clinical presentation

A 32 year old, gravida 2, para 2, was admitted at 36 weeks’ gestation with upper abdominal pain. During her second pregnancy she frequently had epistaxis. At 39 weeks’ gestation she delivered a healthy girl after an elective caesarean section …

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