[Subcapsular liver hematoma, a HELLP syndrome complication].
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.
Tin
L N
LN
Service d'Anesthésie-Réanimation, Hôpital Delafontaine, Saint-Denis.
Mulard
C
C
Talon
A
A
Garnier
J M
JM
Lambert
A
A
Stroch-Marcy
A
A
Kamara
S
S
D000328:Adult; D002585:Cesarean Section; D003131:Combined Modality Therapy; D005260:Female; D017359:HELLP Syndrome / Q000150:complications*; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007741:Labetalol / Q000627:therapeutic use; D008107:Liver Diseases / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed
D007741:Labetalol
Hématome sous-capsulaire du foie, complication du HELLP syndrome.