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Spontaneous ruptured subcapsular liver hematoma associated with pregnancy. A case report.
J Reprod Med. 1996 Feb; 41(2):125-8.JR

Abstract

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 postpartum 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.

Authors+Show Affiliations

Sherbahn R
Department of Obstetrics and Gynecology, Oakwood Hospital, Dearborn, Michigan, USA.

MeSH

AdultCesarean SectionFemaleHematocritHematomaHumansLiver DiseasesLiver Function TestsPainPre-EclampsiaPregnancyRupture, SpontaneousShoulder

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

8656413

Citation

Sherbahn, R. "Spontaneous Ruptured Subcapsular Liver Hematoma Associated With Pregnancy. a Case Report." The Journal of Reproductive Medicine, vol. 41, no. 2, 1996, pp. 125-8.
Sherbahn R. Spontaneous ruptured subcapsular liver hematoma associated with pregnancy. A case report. J Reprod Med. 1996;41(2):125-8.
Sherbahn, R. (1996). Spontaneous ruptured subcapsular liver hematoma associated with pregnancy. A case report. The Journal of Reproductive Medicine, 41(2), 125-8.
Sherbahn R. Spontaneous Ruptured Subcapsular Liver Hematoma Associated With Pregnancy. a Case Report. J Reprod Med. 1996;41(2):125-8. PubMed PMID: 8656413.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Spontaneous ruptured subcapsular liver hematoma associated with pregnancy. A case report. A1 - Sherbahn,R, PY - 1996/2/1/pubmed PY - 1996/2/1/medline PY - 1996/2/1/entrez SP - 125 EP - 8 JF - The Journal of reproductive medicine JO - J Reprod Med VL - 41 IS - 2 N2 - 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 postpartum 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. SN - 0024-7758 UR - https://www.unboundmedicine.com/medline/citation/8656413/Spontaneous_ruptured_subcapsular_liver_hematoma_associated_with_pregnancy__A_case_report_ DB - PRIME DP - Unbound Medicine ER -