What condition would be supported if a postpartum patient has elevated liver enzymes?

Elevated liver enzymes in a postpartum patient can be indicative of severe conditions, particularly related to hypertensive disorders of pregnancy. In the case of preeclampsia with severe features, one of the significant complications includes hepatic involvement, which can manifest as elevated liver enzymes. This occurs due to hepatic dysfunction and potential liver edema associated with severe preeclampsia.

Preeclampsia with severe features is characterized not only by hypertension but also by signs of end-organ dysfunction, which can include elevated liver enzymes, renal impairment, and severe headaches or visual changes. This condition poses serious risks for both the mother and the fetus and requires careful monitoring and, often, urgent intervention.

The other options, while they also relate to hypertensive issues during and after pregnancy, do not typically feature elevated liver enzymes as a prominent or defining characteristic in postpartum patients. This distinction makes the condition of preeclampsia with severe features the most supported answer given the context of elevated liver enzymes.