Acute Fatty Liver of Pregnancy-a Rare but Potentially Catastrophic Cause of Jaundice in Pregnancy

A 27-year-old female primigravida at 36.2 weeks gestational age presented nausea, vomiting, and yellowish discoloration of the eyes. On investigation, she had deranged liver and kidney functions, and USG was suggestive of Coarse Echotexture of the Maternal liver. We diagnosed it as a case of Acute fatty liver of pregnancy followed by Early Caesarean section and intensive supportive management. Active monitoring of Haemodynamic status, Metabolic status, Coagulation profile, Renal, and CNS function resulted in a safe and healthy mother and child.