Medical Case Reports

Acute Fatty Liver in Pregnancy with Encephalopathy, Acute Kidney Injury, Disseminated Intravascular Coagulopathy and Acute Limb Ischaemia - A Case Report

Acute fatty liver in pregnancy (AFLP) is a rare but life threatening obstetric emergency. It can progress up to liver failure if not recognized and treated early. Generally pregnant mothers in third trimester and postpartum mothers are more prone to develop AFLP. 24 year old mother whose first baby was delivered by Emergency Lower segment Caesarean Section (Em LSCS) due to Lack of progression of labour presented in her second pregnancy at Period of Gestation (POG) of 37 weeks and 6 days with abdominal pain, nausea and vomiting and yellowish discoloration of sclera for 2 days duration. Unfortunately she developed acute limb ischaemia needing above knee amputation. Pathophysiology of Acute limb ischaemia may be an arterial embolus. Early detection and multidisciplinary management with Anaesthetic team, Intensive care team, Surgical team, Vascular surgical team, Obstetric team, Psychology team, physiotherapy team and social services section involved in helped the patient recover from this life threatening condition.

Author(s):

Wijewardana HRID*, Thushara SVPN, Kumara BMB, Hewage HC

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