Acute infarction of the liver is an acute circulatory disorder of the liver caused by prolonged severe hypotension resulting in acute loss of blood supply or venous drainage characterised by diffuse ischemic cellular damage pathogenesis disorder causes liver injury results in variable outcome resolution fibrosis acute or chronic liver failure structural disorder injury inflammation (“ischemic hepatitis”) necrosis functional disorder variable functional significance depending on extent and severity mild functional disturbance to acute hepatic failure clinical presentation jaundice hepatomegaly liver failure diagnostic studies include LFT’s treatment is commonly by supportive