[Subcapsular liver hematoma, a HELLP syndrome complication].J Gynecol Obstet Biol Reprod (Paris). 1994; 23(3):311-4.JG
The authors report a case of unruptured subcapsular haematoma of the liver in a 31-year-old woman, para 2, in the 34th week of pregnancy, complicated by preeclampsia. Clinical signs of preeclampsia were associated with pain in the right hypocondrium and laboratory findings consistent with a true HELLP syndrome. The diagnosis of subcapsular haematoma was confirmed by tomodensimetry. A cesarean section was carried out but a conservative treatment of the hepatic haematoma was decided. Regular X-ray follow-ups showed the regression of the hepatic lesion. This case confirms recent reports that patients with unruptured capsular haematoma should be treated conservatively but should receive careful monitoring.