Introduction:

Hepatic rupture in HELLP syndrome is a deadly complication for the mother-child binomial. Multiple therapeutic options have been described, such as hepatic packing, segmental resections, and even liver transplantation for severe cases.

Clinical case:

In a 32-year-old female with HELLP syndrome, a cesarean section was performed, hepatic subcapsular hematoma was found in the left lobe, initially liver packing and ligation of the common hepatic artery was done, and left hepatectomy was performed as a definitive management, with adequate evolution.

Discussion and conclusions:

The reported case was successfully treated by various surgical methods. The early recognition of this complication, aggressive surgical management and multidisciplinary support are bases to reduce morbidity and mortality.

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