HELLP SYNDROME COMPLICATED BY RUPTURED SUBCAPSULAR HEMATOMA OF LIVER: A CASE REPORT AND REVIEW OF THE LITERATURE

Abstract

We report a case of spontaneous hepatic rupture secondary to HELLP syndrome. A favorable
evolution was observed after massive transfusion and surgical management limited to hepatic
packing. Subcapsular hepatic hematoma is a rare complication of preeclampsia occurring
mainly in the context of HELLP syndrome. A high maternal and fetal mortality is observed.
Different therapeutic options are presented including medical, surgical and radiological
interventions. A unique strategy cannot be defined. Multidisciplinary approach seems
mandatory. Surgery should remain as less aggressive as possible.