A 36 years old G5P2A2L1 presented with pain abdomen and impending scar rupture at 34 weeks of pregnancy. Emergency LUCS was done and post operatively diagnosed as acute fatty liver of pregnancy (AFLP). Post operative period was complicated by hepatic encephalopathy, dyselectrolytemia, coagulopathy. Although all the complications were corrected by 7 days, but sudden onset of severe thrombocytopenia due to unknown reason (?Sepsis) led to cerebro-vascular accident and finally a maternal mortality occurred. Some aspects of AFLP are still unknown that are to be investigated and managed respectively in future.

Key words: AFLP, coagulopathy, CVA, sepsis,

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