A Rare Case of Severe Acute Fatty Liver of Pregnancy Complicated By Postpartum Preeclampsia and Sepsis

Tewodros Haile Gebremariam, Abebe Mulugeta Regassa, Charles B Sherman


Acute fatty liver of pregnancy (AFLP) is an uncommon life threatening obstetric emergency associated with significant morbidity and mortality. We report a case of a 20-year-old pregnant lady who presented with nausea, vomiting, epigastric pain, and jaundice. A clinical diagnosis of acute fatty liver of pregnancy was made. AFLP and all complications were managed accordingly. This case highlights the need for early disease recognition and treatment, and the clinical and biochemical overlap between AFLP and the syndrome of hemolysis, elevated liver enzymes, and low platelet count in pregnancy (HELLP).

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