[HELLP syndrome complicated by liver rupture]

The object of our study was the liver rupture as a complication of HELLP syndrome. We described a case of 27-year-old primigravida who underwent the cesarean section because of HELLP syndrome, followed by four laparotomies, due to capsular hematoma and liver rupture. Surgery with packing, argon coagulation or embolization of hepatic artery remain the only treatment for subcapsular hematoma and liver rupture. The main issue is to state the early diagnosis of HELLP syndrome because its clinical presentation at the beginning is very unclear and diagnosis is often delayed. It is important because the morbidity and mortality rates associated with the syndrome have been reported to be as high as 25 percent.