Which symptom is NOT commonly associated with acute fatty liver of pregnancy?

Acute fatty liver of pregnancy is a serious condition that can occur in the third trimester and is characterized by the accumulation of fat in liver cells. Symptoms that are commonly associated with this condition include severe jaundice, abdominal pain, anorexia, and can potentially progress to liver failure.

Vomiting in the second trimester, while it might occur during normal pregnancy or indicate other complications such as hyperemesis gravidarum, is not a typical symptom of acute fatty liver of pregnancy. This condition generally presents with more severe symptoms as it progresses, including jaundice and abdominal discomfort, rather than with vomiting during the earlier stages of pregnancy. Understanding that acute fatty liver primarily manifests closer to delivery helps clarify why vomiting in the second trimester is not a common symptom of this particular condition.