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Case Reports
. 2020 Sep 16:2020:8836329.
doi: 10.1155/2020/8836329. eCollection 2020.

Ruptured Subcapsular Liver Hematoma: A Rare Complication of HELLP Syndrome

Pratishtha Singh  1 , Kayle Warren  1 , Victor Collier  1
Affiliations
Case Reports

Ruptured Subcapsular Liver Hematoma: A Rare Complication of HELLP Syndrome

Pratishtha Singh et al. Case Reports Hepatol. .

Abstract

Subcapsular liver hematoma (SLH) is a rare complication of HELLP (hemolysis, elevated liver enzymes, low platelets) syndrome. We report a previously healthy 16-year-old female presenting with pre-eclampsia requiring emergent C-section, who developed immediate postoperative bleeding and abdominal distention. Abdominal computed tomography angiography (CTA) revealed a large encapsulated liver hematoma with active extravasation. The patient was successfully treated with a multidisciplinary approach with medical and surgical management.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
CTA abdomen on admission showing a large right hepatic subcapsular hematoma measuring 14 cm × 3.6 cm in size with active arterial extravasation.
Figure 2
Figure 2
CTA abdomen on postoperative day 4 showing improvement in size and no active arterial extravasation.
See this image and copyright information in PMC

References

    1. Wolf J. L. Liver disease in pregnancy. Medical Clinics of North America. 1996;80(5):1167–1187. doi: 10.1016/s0025-7125(05)70484-3. - DOI - PubMed
    1. Abercrombie J. Case of hemorrhage of the liver. London Medical Gazette. 1844;34:792–794.
    1. Wicke C., Pereira P. L., Neeser E., Flesch I., Rodegerdts E. A., Becker H. D. Subcapsular liver hematoma in HELLP syndrome: evaluation of diagnostic and therapeutic options-A unicenter study. American Journal of Obstetrics and Gynecology. 2004;190(1):106–112. doi: 10.1016/j.ajog.2003.08.029. - DOI - PubMed
    1. Nunes J. O., Turner M. A., Fulcher A. S. Abdominal imaging features of HELLP syndrome: a 10-year retrospective review. American Journal of Roentgenology. 2005;185(5):1205–1210. doi: 10.2214/ajr.04.0817. - DOI - PubMed
    1. Haram K., Svendsen E., Abildgaard U. The HELLP syndrome: clinical issues and management. A review. BMC Pregnancy and Childbirth. 2009;9 - PMC - PubMed

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