ACUTE FATTY LIVER OF PREGNANCY IN TRIPLET GESTATION

Background: Acute fatty liver is reported to be more common in twin th an in singleton pregnancies. We report three cases of biopsy-proven ac ute fatty liver in triplet gestations. Cases: Ln all three cases of ac ute fatty liver complicating triplet pregnancies, the presenting featu res were vague abdominal complaints with elevated hepatic aminotransfe rase levels. A liver biopsy was performed in each case, and cesareans were performed immediately after the diagnosis was confirmed histologi cally. Clinical resolution occurred in all cases, and all infants did well in the neonatal period. Conclusion: Patients with triplet gestati ons should be monitored closely for the early signs of acute fatty liv er. Tripler gestations may contribute to the onset of acute fatty live r by further stressing the fatty acid oxidation capabilities of the su sceptible woman. (C) 1998 by The American College of Obstetricians and Gynecologists.