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Article Details

Clinical Image

Volume 6, Issue 4 (April Issue)

Ruptured Sub-capsular Liver Hematoma

Gil Zeevi1,2 and Asaf Romano1,2*

1Helen Schneider Hospital for Women, Rabin Medical Center, Petach Tikva, Israel
2Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

*Corresponding author: Dr. Asaf Romano, Helen Schneider Hospital for Women, Rabin Medical Center, 39 Jabotinsky St. Petach Tikva, Israel.
E-mail: rasaf2@gmail.com

Received: March 18, 2024; Accepted: March 30, 2024; Published: April 15, 2024

Citation: Zeevi G, Romano A. Ruptured Sub-capsular Liver Hematoma. Clin Image Case Rep J. 2024; 6(4): 388.

Ruptured Sub-capsular Liver Hematoma
Abstract

A 36-year-old woman, in her fourth pregnancy, gestational age of 35+2 weeks, was admitted to the delivery room with elevated blood pressure, epigastric pain and laboratory findings presenting HELLP syndrome (platelets count 50K, elevated liver function test: AST/ALT 230/330).
An ultrasound examination in the delivery room showed: Figure 1. sub-capsular liver hematoma.
The patient was transferred to the operating room for urgent cesarean section.
After Rapid delivery of the fetus surgical exploration of the superior abdominal cavity revealed ruptured sub-capsular hematoma: Figure 2.
Surgical hemostats were placed followed by packing of the liver, administration of multiple blood products transfusion for hemodynamic stabilization of the patient.
Second look laparotomy after 48h, proved successful with no further bleeding.