Acute fatty liver of pregnancy is a rare but life-threatening complication that can occur during the third trimester.
This complication was described by Sheehan in 1940 and was initially thought to be fatal in all cases. However, early diagnosis and immediate pregnancy termination have improved the prognosis of this disease. Maternal mortality is now the exception and not the rule, and complete recovery is usually achieved.
We report the case of a 28-year-old patient with a diamniotic dichorionic twin gestation who developed acute fatty liver of pregnancy in week 38.