CHSJ

Curr Health Sci J, vol. 44, no. 4, 2018

Postpartum Spontaneous Subcapsular Hepatic Hematoma (SSHH)-Conservative Management. Case Report and Review of Literature

[Case Report]

MARIUS CRISTIAN MARINAS(1), GABRIEL FLORIN RAZVAN MOGOS(2), ROXANA CRISTINA DRAGUSIN(3), STEFANIA TUDORACHE(3), DOMINIC GABRIEL ILIESCU(3)


(1)Department of Anatomy, University of Medicine and Pharmacy of Craiova, Romania
(2)Departament of General Surgery, University of Medicine and Pharmacy of Craiova, Romania
(3)Department of Obstetrics and Gynecology, Prenatal Diagnostic Unit, University of Medicine and Pharmacy of Craiova, Romania


Abstract:

Spontaneous subcapsular hematoma of the liver, with no history of preeclampsia and HELLP syndrome (Hemolysis, Elevated Liver enzymes, and Low Platelet count.), represents an exceptionally rare clinical condition in pregnancy and postpartum. The complications can be devastating in terms of fetal and maternal mortality. We hereby present a case of a 33-year-old female that underwent an emergency Cesarean section (C-section) at term with the extraction of a live foetus. Few hours after delivery, she complained of intense epigastric and abdominal pain. The diagnostic work-up suggested a SSHH. The condition was managed conservatively in a multidisciplinary team.


Keywords: Hematoma, liver, postpartum, ultrasound, conservative



Corresponding: Roxana Cristina Draguin, Department of Obstetrics and Gynecology, University of Medicine and Pharmacy of Craiova, 66 1 May Avenue, 200628 Craiova, Romania, e-mail: roxy_dimieru@yahoo.com


DOI 10.12865/CHSJ.44.04.11 - Download PDF
current issue cover Download cover
Download contents

Journal archive