To reduce mortality, early AFLP diagnosis and management are critical. Nonspecific symptoms include anorexia, abdominal pain, and vomiting. The liver biopsy is highly sensitive. LFTs, PT, PTT, ammonia levels, and hypoglycemia are all common findings.

Acute fatty liver disease of pregnancy (AFLP) is a rare condition associated with other common liver manifestations such as hemolysis, elevated liver enzymes, and low platelets syndrome (HELLP). We present a 27-year-old pregnant woman who developed hepatic encephalopathy and DIC after being diagnosed with Acute fatty liver disease of pregnancy.