Acute fatty liver in pregnancy

• Typically presents in the third trimester with malaise, anorexia, nausea and vomiting and epigastric pain


• Ultrasound scan shows fatty infiltration of the liver although it may be normal


• MANAGEMENT -
• Multi-disciplinary care involving hepatologist and ITU physician


• Prompt delivery after correcting coagulopathy and hypoglycaemia.


• Liver failure and encephalopathy are recognised complications