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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Prognosis If Echotexture Of Normal Size Liver Has Decreased In A Pregnant Patient?

A primi gravida of aged 27yrs developed ICP IN HER 1-ST TRIMESTER.NOW UNDER TREATMENT OF URSODEOXYCHOLIC ACID since last 3-wks.N.B. 1-ST LFT-before the treatment-ALP666,SGPT-399.6,SGOT-167.6.S.Bilirubin-3.84. USG-normal with normal fetus development & no gall stones but echotexture of normal size liver decreased what will be the prognosis?
Mon, 10 Aug 2015
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OBGYN,  's  Response
Hello and I hope I can answer your question.

The degree of echotexture of the liver does not necessarily reflect the degree of the disease or the success of treatment. Only a test of the liver function enzymes, and documenting a decrease, can clarify whether the treatment is working. It certainly is a good sign that the echotexture has decreased but it is not definitive. No matter whether the liver enzymes do during the pregnancy, the patient is still has a risk of unexplained stillborn, so I would consult with a maternal-fetal medicine specialist to recommend the degree of monitoring and timing of the delivery once the patient reaches the third trimester.

I hope this information was helpful

Best wishes, Dr. Brown
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What Is The Prognosis If Echotexture Of Normal Size Liver Has Decreased In A Pregnant Patient?

Hello and I hope I can answer your question. The degree of echotexture of the liver does not necessarily reflect the degree of the disease or the success of treatment. Only a test of the liver function enzymes, and documenting a decrease, can clarify whether the treatment is working. It certainly is a good sign that the echotexture has decreased but it is not definitive. No matter whether the liver enzymes do during the pregnancy, the patient is still has a risk of unexplained stillborn, so I would consult with a maternal-fetal medicine specialist to recommend the degree of monitoring and timing of the delivery once the patient reaches the third trimester. I hope this information was helpful Best wishes, Dr. Brown