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J Gynecol Obst Bio R · Jan 1994
Case Reports[Subcapsular liver hematoma, a HELLP syndrome complication].
- L N Tin, C Mulard, A Talon, J M Garnier, A Lambert, A Stroch-Marcy, and S Kamara.
- Service d'Anesthésie-Réanimation, Hôpital Delafontaine, Saint-Denis.
- J Gynecol Obst Bio R. 1994 Jan 1; 23 (3): 311-4.
AbstractThe authors report a case of unruptured subcapsular haematoma of the liver in a 31-year-old woman, para 2, in the 34th week of pregnancy, complicated by preeclampsia. Clinical signs of preeclampsia were associated with pain in the right hypocondrium and laboratory findings consistent with a true HELLP syndrome. The diagnosis of subcapsular haematoma was confirmed by tomodensimetry. A cesarean section was carried out but a conservative treatment of the hepatic haematoma was decided. Regular X-ray follow-ups showed the regression of the hepatic lesion. This case confirms recent reports that patients with unruptured capsular haematoma should be treated conservatively but should receive careful monitoring.
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