Acute Fatty Liver of Pregnancy: A Life Threatening Condition

  • Sarita Sitaula Department of Obstetrics and Gynecology, BPKIHS, Dharan, Nepal
  • Ajay Agrawal Department of Obstetrics and Gynecology, BPKIHS, Dharan, Nepal
  • Achala Thakur Department of Obstetrics and Gynecology, BPKIHS, Dharan, Nepal
  • Tara Manandhar Department of Obstetrics and Gynecology, BPKIHS, Dharan, Nepal
  • Babauram Dixit Thapa Department of Obstetrics and Gynecology, BPKIHS, Dharan, Nepal
  • Jibanath Dhamala Department of Obstetrics and Gynecology, BPKIHS, Dharan, Nepal

Abstract

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

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Abstract
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PDF
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Published
2020-06-07
How to Cite
Sitaula, S., Agrawal, A., Thakur, A., Manandhar, T., Thapa, B., & Dhamala, J. (2020). Acute Fatty Liver of Pregnancy: A Life Threatening Condition. Nepal Journal of Obstetrics and Gynaecology, 15(1), 79-80. https://doi.org/10.3126/njog.v15i1.29348
Section
Case Reports