Abstract

LOPEZ-ISLAS, Inés; CERDA-ANGELES, Juan Carlos De la; MAXIL-SANCHEZ, Abraham Juan  and  VASQUEZ-VASQUEZ, Juan Ernesto. Postpartum subcapsular hepatic hematomas in HELLP syndrome. Med. interna Méx. [online]. 2019, vol.35, n.2, pp.302-307.  Epub Sep 30, 2020. ISSN 0186-4866.  https://doi.org/10.24245/mim.v35i2.2119.

Hellp syndrome is a complication of pregnancy that can be fatal when subcapsular hepatic hematoma or hepatic rupture occurs, its management can be conservative or can include embolization of the hepatic artery, surgical drainage and even liver transplantation. This paper reports the case of a 37-year-old multiparous patient who presented preeclampsia and in the postpartum hepatic subcapsular hematomas that initially required conservative management, later supraselective embolization of the right hepatic artery and finally exploratory laparotomy with drainage of hematomas and open cholecystectomy due to vesicular necrosis, as well as surveillance for post-surgical residual hepatic hematomas. She was discharged stable in cardiohemodynamic and respiratory terms. The timely diagnosis and treatment of subcapsular hepatic hematoma in patients with HELLP syndrome can reduce mortality; clinical, biochemistry and imaging studies monitoring are important.

Keywords : HELLP syndrome; Hematoma; Hepatic; Subcapsular; Preeclampsia; Necrosis.

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