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Updated: Apr 23, 2026

Laparoscopic Anatomical Right Hemihepatectomy via the In Situ Anterior Approach
Published on: August 8, 2025
Management of hepatic rupture diagnosed after an emergency cesarean section
Gianluca Raffaello Damiani1, Viviana Merola2, Mario Barnaba2
1Department of Obstetrics and Gynecology, Alessandro Manzoni Hospital, Dell'Eremo Street 11, 23900 Lecco, Italy.
Abstract:
A careful management of hepatic capsular rupture, with massive hemoperitoneum which occurred 14 hours after an emergency cesarean section at 36 weeks of gestation, is meticulously reported. The grade of hepatic involvement varies from minor capsular laceration to extensive parenchymal rupture. Our management involved a combination of surgical interventions and aggressive supportive care. The patient was discharged after 53 days and 4 laparotomies and an unsuccessful attempt of superselective artery embolization. Ultrasound after 40 days from the last surgery showed uniform hepatic parenchyma free of focal lesions. Due to the rarity and the unpredictability nature of this devastating event we believe necessary to report our experience, reinforcing the importance of the postsurgery management.
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