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Subcapsular Liver Hematoma in HELLP Syndrome: Case Report.
Murat Kapan1, Mehmet Siddik Evsen2, Metehan Gumus1
1Department of General Surgery, Dicle University Medical Faculty, Diyarbakir, Turkey.
Gastroenterology Research
|December 13, 2016
Summary
Subcapsular liver hematoma, a rare HELLP syndrome complication, requires tertiary care. Conservative management is viable for hemodynamically stable patients, as demonstrated in this case study.
Area of Science:
- Obstetrics and Gynecology
- Hepatology
- Critical Care Medicine
Background:
- HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelets) is a severe obstetric complication.
- Subcapsular liver hematoma is a rare but potentially life-threatening complication of HELLP syndrome.
- Management requires prompt recognition and multidisciplinary tertiary center care.
Observation:
- A 32-year-old woman presented with subcapsular liver hematoma secondary to HELLP syndrome.
- The patient was hemodynamically stable.
- Imaging techniques were used for assessment.
Findings:
- Conservative management was successfully employed for the subcapsular liver hematoma in this HELLP syndrome patient.
- Treatment options range from conservative therapy to operative management, including liver transplantation.
- Close monitoring of hemodynamic and coagulation parameters is crucial.
Implications:
- Conservative management can be a safe and effective option for select patients with HELLP syndrome and subcapsular liver hematoma.
- This case highlights the importance of individualized treatment strategies based on patient stability.
- Further research into optimal management protocols for this rare complication is warranted.
