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Spontaneous ruptured subcapsular liver hematoma associated with pregnancy. A case report



Spontaneous ruptured subcapsular liver hematoma associated with pregnancy. A case report



Journal of Reproductive Medicine 41(2): 125-128



BACKGROUND: Spontaneous rupture of a subcapsular liver hematoma in pregnancy is a rare and potentially life-threatening complication of preeclampsia. The incidence is approximately 1 in 45,000 live births. The liver hematoma is often not suspected until it ruptures. CASE: A 32-year-old female developed severe shoulder pain at 33 weeks' gestation while in the hospital with preeclampsia. Liver involvement was suspected, and cesarean delivery was performed. Over the first two post-partum days the patient had rising liver enzyme and falling hematocrit levels. A ruptured subcapsular liver hematoma was discovered at emergency laparotomy. Both mother and infant survived. CONCLUSION: A patient with a liver hematoma will usually experience right upper quadrant or epigastric pain. However, shoulder pain should also be regarded with suspicion in patients with preeclampsia.

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Accession: 009448956

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PMID: 8656413


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