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The diagnosis of acute fatty liver of pregnancy is usually made upon plump ass liver biopsy. The biopsy shows an intense infiltration of all the hepatocytes by fat with a marked disruption of the hepatic architecture. The liver transaminase will be markedly elevated. The alkaline phosphatase will be slightly elevated. The bilirubin is significantly elevated. It has been recognised as of late that the plump ass rapid delivery of the baby will improve the maternal mortality. It has been this understanding which has lead to the improvement in plump ass the survival rates from such a condition. There is one case in the literature where, despite the delivery of the baby, it was felt that the disease process had not been reversed and the patient underwent successful liver transplant. There are several cases reported where patients who have survived acute fatty liver of pregnancy have subsequently had an uneventful pregnancy.
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