Korean J Gastroenterol.  1998 Dec;32(6):830-833.

A Case of Subcapsular Hematoma of Liver During the Postpartum Period

• Lee CS
• Jung GY
• Park CG
• Yang YC
• Kim DH
• Lee JH

Abstract

Spontaneous hepatic hemorrhage is a rare complication of pregnancy usually associated with severe preeclampsia or the HELLP (hemolysis, elevated liver enzymes, low platelets) syndrome. It usually occurs during the latter part of pregnancy or the postpartum period. Although it is a rare pregnancy related liver disease, it could be a life-threatening condition, especially if it is found after rupture. Th incidence is high among the older and multiparous women, but the pathogenesis of this disease ha not been fully understood yet. We experienced a patient having a subcapsular hematoma during the postpartum period that was not associated with preeclampsia. She began to have right flank and shoulder pain two days after delivery. Abdominal CT scan revealed a 7 X 12 X 20 cm sized sub capsular hematoma without rupture. She was treated conservatively with a percutaneous hepatic drainage. Nineteen days after the procedure, she was discharged without any complication. Two months later, follow-up ultrasonography showed only minimal amount of hematoma.

Keyword

Subcapsular hematoma; Pregnancy

MeSH Terms

Drainage
Female
Follow-Up Studies
Hematoma*
Hemorrhage
Humans
Incidence
Liver Diseases
Liver*
Postpartum Period*
Pre-Eclampsia
Pregnancy
Rupture
Shoulder Pain
Tomography, X-Ray Computed
Ultrasonography