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Hepatic subcapsular hemorrhage associated with pregnancy.
Surgery
|July 1, 1985
Summary
Subcapsular liver hematomas in toxemia patients are rare but life-threatening. Prompt surgical intervention, like laparotomy, is crucial for survival, as conservative management often leads to fatal outcomes.
Area of Science:
- Obstetrics and Gynecology
- Hepatology
- Critical Care Medicine
Background:
- Subcapsular liver hematomas are rare but severe complications associated with toxemia (pregnancy-induced hypertension).
- Most reported cases occur in the right lobe of the liver, with a characteristic triad of symptoms: toxemia, right upper quadrant pain, and hypotension.
- The underlying pathophysiology is thought to involve fibrin thrombi in hepatic vessels leading to hemorrhagic necrosis.