Acute Fatt- Liver of Pregnanc- with H-perlipidemia, Acute Hemorrhagic Pancreatitis and Disseminated Intravascular Coagulation

An autops- case of a 32-ear old nulliparous woman who died of acute fatt- liver of pregnanc- (AFLP) associated with h-perlipidemia, acute hemorrhagic pancreatitis and disseminated intravascular coagulation (DIC) is reported. Although acute pancreatitis has been reported as one of the major complications of AFLP, their interrelationships are poorl- understood because of the rarit- and the fulminating nature of this disease. H-perlipidemia has been interpreted as the etiological factor in acute pancreatitis. It is also known that an increase in circulating lipids occurs during pregnanc- ph-siologicall-. AFLP presents itself onl- in the last trimester of pregnanc-. The intention of the following report is to document a case of AFLP with evidence of supra-ph-siologic h-perlipidemia and to discuss the pathogenesis of AFLP and acute pancreatitis.