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Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Post-cesarean section rupture of subcapsular liver hematoma. A rare event should be kept in mind
M.A. Mohamed1, *, M.N. Salem1, A.H. Salem1, H.R. Hamady2
1 Department of Obstetrics and Gynecology, Sohag Faculty of Medicine, Sohag, Egypt
2 Department of Radiology, Sohag Faculty of Medicine, Sohag, Egypt
Clin. Exp. Obstet. Gynecol. 2018, 45(1), 141–142; https://doi.org/10.12891/ceog3914.2018
Published: 10 February 2018
The authors report a case of a 30-year-old multipara, 36-week pregnant, complicated by HELLP (hemolysis elevated liver enzymes low platelets) syndrome, with 4th repeat cesarean section. Twenty hours after cesarean section, the patient developed hypovolemic shock and hemoperitoneum and ruptured subcapsular hematoma was diagnosed by ultrasonography and confirmed by CT. Resuscitation was performed with continuous observation in ICU. After 48 hours, hemoperitoneum was evacuated by re-exploration through the same pfannensteil incision without any surgical maneuver in the liver. The subcapsular hematoma was followed and nearly disappeared after one month.