Abstract
Background
Ruptured subcapsular hematoma of the liver is one of the rare life-threatening complications of pregnancy and its incidence varies between 1/45,000 and 1/225,000 births.
Case Presentation
A 32-year-old woman who claimed 9 months amenorrhea, presented to our hospital with elevated blood pressure and pushing down pain. After evaluation she was admitted to the labor ward with a diagnosis of latent first stage of labor and preeclampsia with severe features. She gave birth by outlet vacuum. Immediately following delivery she developed hypotension with signs of intra-abdominal fluid collection. Surgical exploration revealed massive hemoperitoneum with ruptured subcapsular hepatic hematoma. She was managed conservatively with pressure packing and drainage tube. The patient improved and was discharged after 12 days of hospital stay.
Conclusion
Timely surgical intervention, multidisciplinary team, on-time availability of blood products, and proper postoperative follow up are crucial to optimize the patient outcome.
Abbreviations
AHMC, Adama Hospital Medical College; ALT, alanine aminotransaminase; AST, aspartate aminotransaminase; CT, computer tomography; HELLP, hemolysis elevated liver enzymes and low platelet syndrome; ICU, intensive care unit; SLH, sub-capsular liver hematoma.
Data Sharing Statement
Data used in this case report can be obtained from the corresponding author.
Ethics Approval
We obtained ethical clearance from the Institutional Ethics Review Board of Adama Hospital Medical College.
Consent for Publication
Written informed consent was provided by the patient for the publication of this case report and accompanying images.
Author Contributions
The conception of the report was developed by the corresponding author. All authors took part in drafting, execution, acquisition, and interpretation of data. On the preparation of the document, all authors were involved in the literature review and critically reviewing the article. All authors read and gave final approval of the submitted document and have agreed to be published on the submitted journal. All authors agreed to take responsibility and be accountable for the contents of the article.
Disclosure
The authors declare that they have no competing interests.