Singh Pratishtha, Warren Kayle, Collier Victor
Department of Internal Medicine, Grand Strand Medical Center, Myrtle Beach, SC, USA.
Case Reports Hepatol. 2020 Sep 16;2020:8836329. doi: 10.1155/2020/8836329. eCollection 2020.
Subcapsular liver hematoma (SLH) is a rare complication of HELLP (hemolysis, elevated liver enzymes, low platelets) syndrome. We report a previously healthy 16-year-old female presenting with pre-eclampsia requiring emergent C-section, who developed immediate postoperative bleeding and abdominal distention. Abdominal computed tomography angiography (CTA) revealed a large encapsulated liver hematoma with active extravasation. The patient was successfully treated with a multidisciplinary approach with medical and surgical management.
肝包膜下血肿(SLH)是HELLP(溶血、肝酶升高、血小板减少)综合征的一种罕见并发症。我们报告一例既往健康的16岁女性,因先兆子痫需要紧急剖宫产,术后立即出现出血和腹胀。腹部计算机断层血管造影(CTA)显示一个巨大的包膜下肝血肿并有活动性外渗。该患者通过多学科方法进行药物和手术治疗后成功治愈。