In obstetrics, any low risk women can suddenly develop multiorgan dysfunction and pose diagnostic challenge. Here is reported a case with similar presentation and major clinical implications.
Material and Methods: A case of a booked low risk primigravida who presented with preterm pains, underwent an uneventful caesarean for fetal bradycardia, developed postpartum sudden catastrophic multiorgan failure and was rescued with supportive measures is reported.
Results: The case highlights the approach to diagnosis of acute fatty liver of pregnancy (AFLP) as a diagnosis of exclusion on retrospective analysis. The details of clinical course, management, differential diagnosis of AFLP, a rare and life-threatening complication of pregnancy is discussed.
Conclusion: The third trimester nausea, vomiting, abdominal pain, or preterm labor can be a potential presentation of AFLP and should be treated cautiously. With watchful alertness to earliest derangements of vitals, a timely and anticipatory involvement of multidisciplinary and tertiary level intensive care team can be done which is lifesaving in such cases with catastrophic multi organ dysfunction.