Management of Ruptured Hepatic Subcapscular Hematoma in Hemolysis, Elevated Liver Enzymes, Low Platelets Syndrome: A Case Report

Regular antenatal checkup and early detection of hypertension can lead to better maternal and perinatal outcome. Surgeons as well as obstetrician have to be vigilant to prevent rare complications like subcapsular hematoma. Every patient of gestational hypertension being operated should also undergo examination of liver to preclude these complications in future. 30-year-old female admitted in Government Medical College, Nagpur as a case of G3P0A2 at 34 weeks of gestation with impending eclampsia with severe intrauterine growth restriction with severe oligohydraminos. An emergency cesarean section was performed. The patient went in shock 11/2 h of the cesarean section so she was explored for hemoperitoneum. There was subcapsular liver hematoma with rupture intraoperatively. A external compression was done and drains were kept. Postoperatively, patient was managed conservatively with blood and blood products. The patient was discharged after 5 weeks of hospital stay in stable condition.