An 18-Year-Old Primigravida at 27 Weeks Gestation Comes to the Emergency

An 18-year-old primigravida at 27 weeks gestation comes to the emergency department due to severe right upper quadrant pain.  The pain started 2 hours ago, and the patient has also had nausea, vomiting, and irregular uterine contractions.  Temperature is 36.7 C (98.1 F) , blood pressure is 172/118 mm Hg, and pulse is 110/min.  BMI is 34 kg/m².  On abdominal examination, tenderness to palpation is present over the right upper quadrant.  Aspartate aminotransferase (SGOT) is 220 U/L and alanine aminotransferase (SGPT) is 240 U/L.  Abdominal imaging reveals a hepatic subcapsular hematoma.  This patient is most at risk for which of the following complications?

A) Acute interstitial nephritis
B) Bleeding esophageal varices
C) Intraamniotic infection
D) Pancreatitis
E) Seizures
F) Thrombocytosis

Correct Answer:

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