Acute fatty liver of pregnancy is an uncommon life threatening condition presenting late in the third trimester of pregnancy. There is severe liver dysfunction, which needs to be differentiated from other conditions causing this, in pregnancy. Patients present with nonspecific complaints such as nausea, vomiting, malaise, fatigue, thirst, and altered mental state. If left undiagnosed and untreated it can progress to fulminant hepatic failure and death. Treatment is early delivery of baby and management of the patient on lines of liver failure in an intensive care unit.
Key words: Acute fatty liver of pregnancy (AFLP), haemolysis elevated liver enzymes and low platelets (HELLP) syndrome
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