Ruptured hepatic hematoma managed with a Sengstaken-Blakemore probe in severe preeclampsia with hemolysis, elevated...

We report the case of a 34-year-old woman with a 32-week pregnancy complicated by recurrent severe preeclampsia, HELLP Class I syndrome, and an intact hepatic hematoma of the right lobe detected by ultrasound. During the cesarean section, the rupture of the hematoma occurred and a gastroesophageal probe of the Sengstaken-Blakemore type was placed to occlude the bleeding cavity and the exit tunnel. The balloons were deflated gradually and the probe was removed on the 10^th day without complications. The Sengstaken-Blakemore probe can be an effective remedy to control liver bleeding in selected cases.