Subcapsular Hepatic Hematoma: Considerations and Strategies of a Rare  Complication of HELLP Syndrome

Jasdeep Bathla DO; Anirudh R Damughatla DO; Sarvani Surapaneni MD; Katherine Wong MD; Angy Hanna MD

Authors

Jasdeep Bathla DO Dept of Internal Medicine, Wayne State University and Detroit Medical Center, Detroit, MI
Anirudh R Damughatla DO Dept of Internal Medicine, Wayne State University and Detroit Medical Center, Detroit, MI
Sarvani Surapaneni MD Dept of Internal Medicine, Wayne State University and Detroit Medical Center, Detroit, MI
Katherine Wong MD Dept of Gastroenterology, Wayne State University and Detroit Medical Center, Detroit, MI
Angy Hanna MD Dept of Gastroenterology, Wayne State University and Detroit Medical Center, Detroit, MI

Abstract

Hemolysis, elevated liver enzymes, and low platelets (HELLP) is a relatively rare syndrome in pregnancy that can lead to disastrous complications when missed. Here, we present a case of HELLP syndrome complicated by development of subcapsular liver hematoma. The patient was managed conservatively and underwent hepatic artery embolization for the non-ruptured hematoma. Although this condition is rare, it may present indolently, and labs may not correlate with severity of symptoms. Therefore, high clinical suspicion is warranted, especially in those with a history of preeclampsia and preterm deliveries. More investigation is needed to establish a protocol for monitoring and preventing this condition.

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References

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