Intraoperatively diagnosed spontaneous rupture of a subcapsular liver hematoma with incomplete hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome: A case report and literature review.

ABSTRACT:

Rationale

Subcapsular liver hematoma (SLH) during pregnancy is a rare but potentially life-threatening complication, often associated with hypertensive disorders such as preeclampsia and hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome.

Patient concerns

We report the case of a 37-year-old primipara who presented at 39 weeks of gestation with severe preeclampsia (blood pressure, 166/106 mm Hg; proteinuria, 2+). Notably, her prenatal course was marked by normal blood pressure and 3 negative urine protein tests.

Diagnoses

The patient was diagnosed with incomplete HELLP syndrome and a ruptured SLH. This intraoperative diagnosis was confirmed by the identification of 800 mL of noncoagulated blood and a 4 × 2 cm left hepatic lobe subcapsular hematoma with s

SUBMITTER: Kang Y 

PROVIDER: S-EPMC12401199 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature