Abstract
A 30-year-old woman without antenatal care presented with 10 hours of right upper quadrant pain, which developed immediately after vaginal delivery. On examination, she was conscious and afebrile, with a pulse rate of 146 beats/min and blood pressure of 230/179 mm Hg. Palpation demonstrated right upper quadrant tenderness. Laboratory test results were noteworthy for a serum bilirubin level of 4.3 mg/dL (reference range 0.3 to 1.0 mg/dL), alanine aminotransferase level of 558 IU/L (reference range 7 to 52 IU/L), and platelet count of 40×103/μL.
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