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This pathology commonly is a consequence of ‘abruptio cardio seal placentae’, or of septic or haemorrhagic shock. Although a haemorrhagic syndrome was present in our case, it was not accompanied by total anuria, which is typical in renal cortical necrosis [5,6]. Although hepato-renal syndrome can occur in some cases with acute alterations of liver function, this is associated with oliguria or anuria, which was not present in our patient. The last cardio seal and most likely diagnosis of AFL has to be discussed. This is a rare but dangerous cardio seal complication occurring in the last trimester of pregnancy. The aetiology is unknown although several factors have been suggested to play a role such as tetracycline toxicity, viral infections, or intravascular coagulation [7]. AFL is characterized by progressive jaundice and liver failure.
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