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Clinical and Experimental Obstetrics & Gynecology  2018, Vol. 45 Issue (1): 141-142    DOI: 10.12891/ceog3914.2018
Case Report Previous articles | Next articles
Post-cesarean section rupture of subcapsular liver hematoma. A rare event should be kept in mind
M.A. Mohamed1, *(), M.N. Salem1, A.H. Salem1, H.R. Hamady2
1 Department of Obstetrics and Gynecology, Sohag Faculty of Medicine, Sohag, Egypt
2 Department of Radiology, Sohag Faculty of Medicine, Sohag, Egypt
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Abstract  
The authors report a case of a 30-year-old multipara, 36-week pregnant, complicated by HELLP (hemolysis elevated liver enzymes low platelets) syndrome, with 4th repeat cesarean section. Twenty hours after cesarean section, the patient developed hypovolemic shock and hemoperitoneum and ruptured subcapsular hematoma was diagnosed by ultrasonography and confirmed by CT. Resuscitation was performed with continuous observation in ICU. After 48 hours, hemoperitoneum was evacuated by re-exploration through the same pfannensteil incision without any surgical maneuver in the liver. The subcapsular hematoma was followed and nearly disappeared after one month.
Key words:  Subcapsular hematoma      HELLP syndrome      Hemoperitoneum     
Published:  10 February 2018     
*Corresponding Author(s):  M.A. MOHAMED     E-mail:  magdyelkardosy@gmail.com

Cite this article: 

M.A. Mohamed, M.N. Salem, A.H. Salem, H.R. Hamady. Post-cesarean section rupture of subcapsular liver hematoma. A rare event should be kept in mind. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(1): 141-142.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog3914.2018     OR     https://ceog.imrpress.com/EN/Y2018/V45/I1/141

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