ACUTE FATTY LIVER OF PREGNANCY WITH ATYPICAL PRESENTATION: A CASE COMPLICATED BY MULTIORGAN FAILURE AND SEVERE ACUTE PANCREATITIS

Acute fatty liver of pregnancy (AFLP) is a rare but severe complication of pregnancy, typically occurring in the third trimester. Its diagnosis can be challenging due to its polymorphic clinical presentation, which may mimic other hepatic and systemic pathologies. We report the case of a 35-year-old primigravida patient who was initially hospitalized for acute non-lithiasic pancreatitis. Her condition rapidly deteriorated into multiorgan failure, with fulminant hepatitis, hepatic encephalopathy, and refractory septic shock, leading to a non-recoverable cardiac arrest despite intensive medical management.