Acute fatty liver of pregnancy: Case report of an uncommon disease
Alakananda Das, Bikash Choudhury
A 29 - year old female gravida 2 para 1 at 32 weeks 2 days of gestation presented with jaundice, itching, fever, vomiting, respiratory difficulty and altered sensorium. From clinical and initial laboratory findings diagnosis of acute fatty liver of pregnancy was made. Although early termination of pregnancy was done, postpartum period was complicated by sepsis, hepatic encephalopathy, pulmonary oedema, convulsion and continuing coagulopathy. Supportive management in an intensive care unit resulted in successful outcome.