[Spontaneous hematoma of the liver in pregnancy: non-surgical treatment. Favorable outcome apropos of a case].
The authors report a case of spontaneous rupture of the liver during pregnancy which occurred in a 31-year old multiparous woman with pre-eclampsia. In the literature, this rare event is associated with both maternal and fetal high mortality rates. Histopathological studies have shown periportal parenchymal lesions, larger sinusoidal fibrin deposits and hemorrhagic infarctions. Our case was successfully managed with termination of pregnancy by cesarean section without surgical procedure toward subcapsular hematoma. Long term follow-up using liver scans is needed.
Polyclinique Gynécologie-Obstétrique, Médecine de la Reproduction, Clermont-Ferrand.
G
G
Le Bouëdec
F
F
Raymond
E
E
Fondrinier
M
M
Canis
J
J
Chipponi
M A
MA
Bruhat
D000328:Adult; D002585:Cesarean Section; D005260:Female; D006406:Hematoma / Q000150:complications*; D006801:Humans; D008107:Liver Diseases / Q000150:complications*; D011225:Pre-Eclampsia; D011247:Pregnancy; D011248:Pregnancy Complications; D011256:Pregnancy Outcome; D012422:Rupture, Spontaneous
L'hématome spontané du foie au cours de la grossesse: abstention chirurgicale. Evolution favorable à propos d'un cas.