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Korean J Gastroenterol. 1998 Dec;32(6):830-833. Korean. Case Report.
Lee CS , Jung GY , Park CG , Yang YC , Kim DH , Lee JH .
Department of Internal Medicine, University of College of Medicine, Ulsan, Korea.
Department of Diagnositic Radiology, University of College of Medicine, Ulsan, Korea.

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.

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