Subcapsular liver hematoma complicating HELLP syndrome: A case report and review of management strategies
Subcapsular liver hematoma is a life-threatening complication of pregnancy. It is associated with preeclampsia and HELLP syndrome.We present the case of a 36-year-old Caucasian nulliparous woman who was diagnosed at 29 weeks and 6 days of gestation with mild preeclampsia. After brief hospitalization...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Case Reports in Women's Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214911223000851 |
| _version_ | 1797399105410957312 |
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| author | Agnès Villart Pauline Burban Elie Mosnino Mohamed Derouich |
| author_facet | Agnès Villart Pauline Burban Elie Mosnino Mohamed Derouich |
| author_sort | Agnès Villart |
| collection | DOAJ |
| description | Subcapsular liver hematoma is a life-threatening complication of pregnancy. It is associated with preeclampsia and HELLP syndrome.We present the case of a 36-year-old Caucasian nulliparous woman who was diagnosed at 29 weeks and 6 days of gestation with mild preeclampsia. After brief hospitalization she was discharged. During a daily follow-up, at 31 weeks and 3 days of gestation, she complained of mild abdominal pain and blood tests revealed HELLP syndrome. The cervix was unripe. A healthy baby was delivered by emergency cesarean section. The following day, the patient complained of persistent abdominal pain, and at the same time the hepatic cytolysis worsened dramatically. A computed tomography (CT) scan revealed a significant subcapsular hematoma without any active bleeding or breach of Glisson's capsule. We treated the patient conservatively and she was discharged home 10 days after the diagnosis was made.The symptoms of subcapsular liver hematoma are non-specific. They include nausea, vomiting and epigastric pain, and pain in the right upper quadrant or shoulder.Biological analyses can show hepatic cytolysis, haemolysis and coagulation disorders.Medical imaging can confirm the diagnosis.The management of subscapular liver hematoma may depends on whether there is hemodynamic stability, active bleeding or breach of Glisson capsule's. If the patient is stable and in the absence of active bleeding, management should be purely symptomatic. |
| first_indexed | 2024-03-09T01:34:38Z |
| format | Article |
| id | doaj.art-dc6369307cec4b8b883a79efea68001b |
| institution | Directory Open Access Journal |
| issn | 2214-9112 |
| language | English |
| last_indexed | 2024-03-09T01:34:38Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Case Reports in Women's Health |
| spelling | doaj.art-dc6369307cec4b8b883a79efea68001b2023-12-09T06:06:26ZengElsevierCase Reports in Women's Health2214-91122023-12-0140e00561Subcapsular liver hematoma complicating HELLP syndrome: A case report and review of management strategiesAgnès Villart0Pauline Burban1Elie Mosnino2Mohamed Derouich3Department of Gynecology and Obstetrics, Argenteuil Hospital, 69 Rue du Lieutenant Colonel Prudhon, 95107 Argenteuil, FranceDepartment of Gynecology and Obstetrics, Argenteuil Hospital, 69 Rue du Lieutenant Colonel Prudhon, 95107 Argenteuil, FranceCorresponding author at: Gynecology and Obstetric department, Centre Hospitalier d'Argenteuil, 69 Rue du Lieutenant ColonelPrudhon, 95107 Argenteuil, France.; Department of Gynecology and Obstetrics, Argenteuil Hospital, 69 Rue du Lieutenant Colonel Prudhon, 95107 Argenteuil, FranceDepartment of Gynecology and Obstetrics, Argenteuil Hospital, 69 Rue du Lieutenant Colonel Prudhon, 95107 Argenteuil, FranceSubcapsular liver hematoma is a life-threatening complication of pregnancy. It is associated with preeclampsia and HELLP syndrome.We present the case of a 36-year-old Caucasian nulliparous woman who was diagnosed at 29 weeks and 6 days of gestation with mild preeclampsia. After brief hospitalization she was discharged. During a daily follow-up, at 31 weeks and 3 days of gestation, she complained of mild abdominal pain and blood tests revealed HELLP syndrome. The cervix was unripe. A healthy baby was delivered by emergency cesarean section. The following day, the patient complained of persistent abdominal pain, and at the same time the hepatic cytolysis worsened dramatically. A computed tomography (CT) scan revealed a significant subcapsular hematoma without any active bleeding or breach of Glisson's capsule. We treated the patient conservatively and she was discharged home 10 days after the diagnosis was made.The symptoms of subcapsular liver hematoma are non-specific. They include nausea, vomiting and epigastric pain, and pain in the right upper quadrant or shoulder.Biological analyses can show hepatic cytolysis, haemolysis and coagulation disorders.Medical imaging can confirm the diagnosis.The management of subscapular liver hematoma may depends on whether there is hemodynamic stability, active bleeding or breach of Glisson capsule's. If the patient is stable and in the absence of active bleeding, management should be purely symptomatic.http://www.sciencedirect.com/science/article/pii/S2214911223000851Subscapular liver hematomaSubscapular haematomaHELLP syndromePreeclampsiaSLHPregnancy |
| spellingShingle | Agnès Villart Pauline Burban Elie Mosnino Mohamed Derouich Subcapsular liver hematoma complicating HELLP syndrome: A case report and review of management strategies Case Reports in Women's Health Subscapular liver hematoma Subscapular haematoma HELLP syndrome Preeclampsia SLH Pregnancy |
| title | Subcapsular liver hematoma complicating HELLP syndrome: A case report and review of management strategies |
| title_full | Subcapsular liver hematoma complicating HELLP syndrome: A case report and review of management strategies |
| title_fullStr | Subcapsular liver hematoma complicating HELLP syndrome: A case report and review of management strategies |
| title_full_unstemmed | Subcapsular liver hematoma complicating HELLP syndrome: A case report and review of management strategies |
| title_short | Subcapsular liver hematoma complicating HELLP syndrome: A case report and review of management strategies |
| title_sort | subcapsular liver hematoma complicating hellp syndrome a case report and review of management strategies |
| topic | Subscapular liver hematoma Subscapular haematoma HELLP syndrome Preeclampsia SLH Pregnancy |
| url | http://www.sciencedirect.com/science/article/pii/S2214911223000851 |
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