Open AccessAcute Fatty Liver of Pregnancy: A Life Threatening Condition
Author(s) -
Sarita Sitaula,
Ajay Agrawal,
Achala Thakur,
Tara Manandhar,
Babauram Dixit Thapa,
Jibanath Dhamala
Publication year - 2020
Publication title -
nepal journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
eISSN - 1999-9623
pISSN - 1999-8546
DOI - 10.3126/njog.v15i1.29348
Subject(s) - medicine , acute fatty liver of pregnancy , pregnancy , vomiting , hysterectomy , obstetrics , jaundice , postpartum period , gestation , liver function , surgery , genetics , biology
Acute Fatty Liver of Pregnancy (AFLP) is a rare but catastrophic disease affecting women in pregnancy. It usually occurs in the third trimester or post-partum period. Delay in diagnosis is associated with morbid complications with high morbidity and mortality. We report a case of 24 years old female at 38 weeks period of gestation who presented with jaundice, vomiting for 3 days and deranged liver function test. She was diagnosed as acute fatty liver of pregnancy and was delivered by instrumental delivery but required cesarean hysterectomy due to postpartum hemorrhage. She started improving with supportive care and discharged after 4 weeks of hospital stay.
Key words: AFLP, Hysterectomy, Postpartum hemorrhage