Anaesthesia for caesarean section in a patient with acute fatty liver of pregnancy

Abstract

A 23-yr-old woman presented in labour and hepatic failure. The clinical diagnosis was acute fatty liver of pregnancy. A Caesarean section was performed under epidural anaesthesia, after correction of a coagulopathy. Epidural anaesthesia was chosen because of the potential deleterious effects of general anaesthesia on liver blood flow and function. © 1991 Canadian Anesthesiologists.