Acute fatty liver of pregnancy in postpartum - an uncommon time of presentation

Acute fatty liver of pregnancy (AFLP) is an obstetric emergency can result in maternal and fetal complications including death. The exact pathology of disease is unknown but abnormality in the fatty acid metabolism play an important role. The disease usually affects in third trimester and immediate postpartum (1). The diagnosis of AFLP usually based on clinical presentation and compatible laboratory finding. Intensive care unit admission with supportive management and immediate delivery irrespective of gestational age are main stay of treatment (2). We report a case of 26-year-old mother who was diagnosed with AFLP in second day of postpartum.