+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

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.

Please choose payment method:

(PDF emailed within 1 workday: $29.90)

Accession: 009448956

Download citation: RISBibTeXText

PMID: 8656413

Related references

Ruptured subcapsular liver hematoma in pregnancy: a case report of nonsurgical management. American Journal of Obstetrics and Gynecology 190(2): 558-560, 2004

Spontaneous subcapsular hematoma of liver in pregnancy of unknown etiology--conservative management: a case report. Journal of Maternal-Fetal & Neonatal Medicine 23(1): 107-110, 2010

Hemoperitoneum due to spontaneous rupture of liver subcapsular hematoma during pregnancy report of a case and therapeutic options. Jornal Brasileiro de Ginecologia 101(8): 331-334, 1991

Ruptured subcapsular liver hematoma and pregnancy: a rare complication of severe preeclampsia: a report of a case discovered fortuitously at the Maternity Teaching Hospital of Cocody. Clinical and Experimental Obstetrics & Gynecology 39(4): 550-552, 2013

Ruptured subcapsular haematoma of the liver in pregnancy; a case report. European Journal of Obstetrics, Gynecology, and Reproductive Biology 36(1-2): 179-183, 1990

Spontaneous Subcapsular Hematoma of the Fetal Liver: A Case Report and Review of Literature. Ajp Reports 5(2): E203-E206, 2015

Ruptured subcapsular hematoma of the liver complicating acute fatty liver of pregnancy. Pan African Medical Journal 19: 38-38, 2015

Spontaneous retroperitoneal and subcapsular liver hematoma. The diagnostic contribution of CT, US and CEUS. Case report. Medical Ultrasonography 15(2): 157-160, 2014

A therapeutic dilemma. Non-ruptured subcapsular liver hematoma during pregnancy and puerperium. Journal of the Kansas Medical Society 80(1): 15-17, 1979

Subcapsular liver hematoma, severe complication of pregnancy toxemia. A case report. La Tunisie Medicale 80(4): 233-235, 2002

Subcapsular hematoma of the liver complicating pregnancy Report of a case and review of the literature. 1965

A case report of a spontaneous subcapsular hematoma leading to rupture of the liver in a patient following a renal transplant. Transplantation 78(7): 1090-1091, 2004

A case report of a low-birth-weight infant with a subcapsular liver hematoma and spontaneous bowel perforation. Advances in Neonatal Care 4(2): 67-78, 2004

Spontaneous subcapsular liver hematoma associated with pregnancy. Archives of Pathology & Laboratory Medicine 127(12): 1639-1640, 2003

Spontaneous subcapsular hematoma of liver during pregnancy. New York State Journal of Medicine 70(22): 2818-2821, 1970