Case Report Acute Fatty Liver of Pregnancy
Acte Fatty Liver of Pregnancy
DOI:
https://doi.org/10.15713/ins.bhj.191Keywords:
AFLP, maternal coagulopathy, liver failure, obstetric emergency, plasma exchange, metabolic acidosis in pregnancy, DIC in pregnancyAbstract
Acute Fatty Liver of Pregnancy is an obstetric emergency associated with high maternal mortality and morbidity.
A decade ago , the maternal mortality rates were significantly higher reaching upto 70 %.
Presently maternal mortality has decreased to around 18% with associated neonatal mortality ranging from 7% to 66% attributed to focused liver intensive careand a robust multidisciplinary team approach.
Our patient had a late and critical presentation with hepatic encephalopathy on admission. Swift and promt decisions with a good liver team backup can reduce the mortalty rates associated with AFLP.
The patient had multiple life threatening catastrophic and turbulent events post Caesarean section. After weeks of intensive post operative care she was discharged from the hospital .We had a successful outcome inspite of delayed presentation .
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