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Subcapsular hepatic haematoma in a postpartum woman with severe pre-eclampsia
Leonor Pascoal de Carvalho1, Maria Inês Marques2, Isabel Santos Silva2
1Obstetrics B Unit, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal leonorpcarv@gmail.com.
Subcapsular hepatic haematoma (SHH) is an uncommon but potentially life-threatening complication of hypertensive disorders of pregnancy, particularly Hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome and severe pre-eclampsia. We report the case of a woman in her 30s who developed a large SHH without rupture in the postpartum period following severe pre-eclampsia. Early imaging and conservative management strategy led to favourable maternal and neonatal outcomes. This case highlights the importance of maintaining a high clinical suspicion, timely imaging and multidisciplinary collaboration to optimise prognosis.
Subcapsular hepatic haematoma (SHH) is an uncommon but potentially life-threatening complication of hypertensive disorders of pregnancy, particularly Hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome and severe pre-eclampsia. We report the case of a woman in her 30s who developed a large SHH without rupture in the postpartum period following severe pre-eclampsia. Early imaging and conservative management strategy led to favourable maternal and neonatal outcomes. This case highlights the importance of maintaining a high clinical suspicion, timely imaging and multidisciplinary collaboration to optimise prognosis.
