Published April 11, 2025 | Version v1
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FOCAL ACUTE FATTY LIVER OF PREGNANCY IN THE FALCIFORM LIGAMENT: A CASE REPORT

Description

Acute fatty liver of pregnancy (AFLP) is an uncommon condition, yet serious complication that usually occurs during the third trimester. It is characterized by hepatic microvesicular steatosis and can lead to significant maternal and fetal morbidity and mortality (9). We report the case of a 25-year-old first-time pregnant woman who was admitted with symptoms of vomiting, epigastric pain, and jaundice. Clinical evaluation and laboratory findings confirmed AFLP, with hyperechogenicity near the falciform ligament observed on ultrasound. This case is notable for the focal nature of the steatosis localized to the falciform ligament. Prompt diagnosis and supportive management were crucial in preventing further complications. This case highlights the critical need for early identification and management of AFLP. 

 

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