GPT and Hyperammonemia: Upon admission to the pathology of pregnancy ward, laboratory tests were alarmingly abnormal, including the following: bile acids of 432.4 μM/L; hyperbilirubinemia of 20.6 mg/dL; alanine aminotransferase (ALT) 2082 U/L; aspartate aminotransferase (AST) 3050 U/L; moderately elevated cholestatic enzymes: alkaline phosphatase (ALP) 166 U/L; gamma-glutamyl transferase (GGT) 67 U/L; hypoalbuminemia 22 G/L; prolonged International Normalized Ratio (INR) 4.95; and hyperammonemia 81 μmol/L.