Acute Fatty Liver Disease of Pregnancy in the Second Trimester. (16th June 2020)

• Record Type: Journal Article
• Authors: Afridi, Faraz; Feely, Michael; Reddy, Raju
• Other Names: Molnár Zsolt Academic Editor.
• Is Part Of: Case reports in critical care. Volume 2020(2020)
• Publication Date: 2020-06-16
• Subjects: Critical care medicine -- Periodicals; Emergency medicine -- Periodicals; Medical emergencies -- Periodicals; 616.02805
• DOI: 10.1155/2020/6705784
• Languages: English
• ISSNs: 2090-6420

Abstract

Abstract : Acute fatty liver of pregnancy (AFLP) is a rare disorder that typically presents in the third trimester. We report a case of a 21-year-old woman with a history of intrauterine fetal demise at 19 weeks' gestation who developed fulminant liver failure 1 week after the fetal demise. She was diagnosed with AFLP as per the Swansea criteria. An orthotopic liver transplant was attempted but was unsuccessful. AFLP usually presents between the 30th to 38th weeks of gestation. However, it can occur in the postpartum period after only 19 weeks of gestation as highlighted in our case.