Introduction:

The acute fatty liver of pregnancy is a rare and potentially fatal complication. Objective: To describe anesthetic management in a pregnant woman who carries acute fatty liver disease.

Case report:

This is a 19 year-old pregnant woman with a history of postoperative hypothyroidism, announced for emergency surgical procedure to perform cesarean section due to acute fatty liver of pregnancy.

Conclusions:

The acute fatty liver of pregnancy requires early diagnosis and aggressive treatment. Interdisciplinary medical care and supportive treatment are decisive in the favorable evolution. Caesarean section is the safest method of pregnancy termination and should be recommended to reduce the risk of adverse outcomes. The administration of orotracheal general anesthesia for emergency cesarean section ensures a safe and effective surgical approach.

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