Nguessan K L P, Mian D B, Gondo D, Koffi A, Alla C
Department of Gynecology and Obstetrics of the University Hospital of Cocody, Abidjan, Republic of Cote d'Ivoire.
Clin Exp Obstet Gynecol. 2012;39(4):550-2.
We report a case of spontaneous rupture of a subcapsular hematoma of the liver (SHL). It was discovered incidentally at the end of an emergency exploratory laparotomy performed due to unexplained hemoperitoneum with hypovolemic shock which occurred with severe preeclampsia. Diagnosis and therapeutic management are very difficult in sub-Saharan Africa due in part to the limitations and lack of medical equipment. The prognosis is usually marked by the death of the patient, as in our case. Through this clinical observation we wanted to show the interest in performing a liver ultrasound at any level of preeclampsia to detect liver abnormalities as soon as possible.
我们报告一例肝包膜下血肿（SHL）自发性破裂的病例。该病例是在因重度子痫前期伴无法解释的腹腔积血及低血容量性休克而进行的急诊剖腹探查术结束时偶然发现的。在撒哈拉以南非洲，诊断和治疗管理非常困难，部分原因是医疗设备有限且缺乏。正如我们这个病例一样，预后通常以患者死亡为特征。通过这一临床观察，我们想表明，在子痫前期的任何阶段进行肝脏超声检查以尽早发现肝脏异常是有意义的。
