SUBCAPSULAR HEPATIC HEMATOMA: A COMPLICATION OF HELLP SYNDROME. CONSERVATIVE MANAGEMENT AND COMPARISON WITH LITERATURE

Abstract

Microangiopathic hemolytic anemia, elevated liver enzymes and low platelet count, also known as HELLP syndrome, is a rare complication of pregnancy with high maternal and fetal mortality. One of the most serious complications is a subcapsular liver hematoma. The diagnostic techniques used for diagnosis are ultrasound, CT and MRI. Hemodynamically stable patients should be treated conservatively and in cases of active bleeding with percutaneous embolization of the hepatic arteries. We present a case of a 35-year-old woman with subcapsular liver hematoma with active arterial bleeding who underwent an emergency cesarean section and was treated conservatively with artery embolization with gelatin sponge.

Keywords

• subcapsular liver hematoma
• hepatic hematoma
• transcatheter arterial embolization
• preeclampsia
• pregnancy
• liver complication
• hellp syndrome