SUBCAPSULAR HEPATIC HEMATOMA: A COMPLICATION OF HELLP SYNDROME. CONSERVATIVE MANAGEMENT AND COMPARISON WITH LITERATURE

Abstract

Microangiopathic hemolytic anemia, elevated liver enzymes and low platelet count, also known as

HELLP syndrome, is a rare complication of pregnancy with high maternal and fetal mortality. One

of the most serious complications is a subcapsular liver hematoma. The diagnostic techniques used

for diagnosis are ultrasound, CT and MRI. Hemodynamically stable patients should be treated

conservatively and in cases of active bleeding with percutaneous embolization of the hepatic

arteries. We present a case of a 35-year-old woman with subcapsular liver hematoma with active

arterial bleeding who underwent an emergency cesarean section and was treated conservatively

with artery embolization with gelatin sponge.