Postpartum HELLP syndrome complicated with large subcapsular liver hematoma

Syed Naqvi; Syed Hassnain; Amman Yousaf; Shoaib Muhammad; Diego Cabrera

doi:10.1080/08998280.2022.2072184

Postpartum HELLP syndrome complicated with large subcapsular liver hematoma

Proc (Bayl Univ Med Cent). 2022 May 13;35(5):709-711. doi: 10.1080/08998280.2022.2072184. eCollection 2022.

Authors

Syed Naqvi¹, Syed Hassnain¹, Amman Yousaf², Shoaib Muhammad^{3

4}, Diego Cabrera⁵

Affiliations

¹ Department of Internal Medicine, University of Kentucky College of Medicine , Bowling Green , Kentucky.
² Department of Internal Medicine, McLaren Flint-Michigan State University , Flint , Michigan.
³ Gulab Devi Hospital , Lahore , Pakistan.
⁴ Department of Radiology, Salam Medical Complex , Lahore , Pakistan.
⁵ Department of Hematology/Oncology, University of Kentucky College of Medicine , Bowling Green , Kentucky.

Abstract

Subcapsular hematoma of the liver is a potentially fatal complication of pregnancy-related hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome. In turn, HELLP syndrome is one of the most critical complications of preeclampsia. We present a case of a 31-year-old woman who developed a subcapsular liver hematoma in the postpartum period secondary to HELLP syndrome. The diagnosis was made based on the clinical features, radiological investigation, and laboratory values. She was managed with fluids, intravenous steroids, and rigorous monitoring in the intensive care unit before being moved to a tertiary care center with hepatic surgery and interventional radiology capabilities.

Keywords: Dilation and curettage; HELLP; elevated liver enzymes; liver hematoma; platelets; preeclampsia.

Publication types

Case Reports