Hepatic necrosis is seen in these cases: first, trauma resulting in liver rupture and lamellar contusion, where the ruptured out liver tissue can lead to ischemia and necrosis. In this case, an emergency caesarean section should be performed to stop the bleeding, repair the ruptured liver, remove the necrotic inactivated tissue if necessary, and also consider anti-shock treatment. Postoperatively, aggressive anti-infection is also required to prevent infection and improve microcirculation. The second type, seen in acute fulminant hepatitis, can be caused by viral infection or by drug-related damage. In this case, liver protection therapy should be administered promptly, and in severe cases, artificial liver or continuous intravenous hemofiltration can be performed, mainly to remove toxins from the body and to be able to repair necrotic liver tissue. The mortality rate of acute hepatic necrosis is very high.