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© 2019 The Authors.Background extreme intrahepatic cholestasis of pregnancy (ICP), defined as a serum bile acid (SBA) degree 100 μmol/l, remains badly grasped in its mechanism and ramifications. Instance A patient with a missed diagnosis of moderate ICP went on to develop medical jaundice and liver purpose abnormalities within the environment of recently diagnosed hepatitis C and severe ICP on repeat SBA examination. Conclusion This situation features and increases the developing human body of research giving s