Case Reports in Women's Health (Jan 2020)

Grade III subcapsular liver hematoma secondary to HELLP syndrome: A case report of conservative management

  • Daniel Bradke,
  • Ashley Tran,
  • Tatiana Ambarus,
  • Munir Nazir,
  • Maryann Markowski,
  • Alexander Juusela

DOI
https://doi.org/10.1016/j.crwh.2019.e00169
Journal volume & issue
Vol. 25

Abstract

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Subcapsular liver hematoma (SLH) is a rare condition that is associated with preeclampsia and HELLP (hemolysis, elevated liver enzymes, and low platelets) syndrome. A high level of suspicion, early diagnosis, and coordinated, intensive multidisciplinary management are necessary to monitor for serious complications and prevent death. Options include conservative management, hepatic resection, hepatic artery ligation and liver transplantation. This paper describes a 34-year-old woman with HELLP syndrome who developed a large grade III SLH that was managed conservatively. Keywords: Pregnancy, Preeclampsia, HELLP syndrome, Subcapsular hematoma, Maternal mortality