[Hepatocellular hemorrhagic necrosis and subcapsular hepatic hematoma in 20 cases of hypertension in the third trimester of pregnancy (toxemia)].

Hepatocellular hemorrhagic necrosis was found in 11 cases, that correspond to 55% of 20 cases of death due to hypertensive disease of third trimester of pregnancy: eclampsia, in 81.8% was diffuse; in 18.1% it was focal: it was present at 18 years to 38 years of age; at 25.5 years of age, average; 36.3% were primipara, 36.3% multiparae. Subcapsular hepatic hematoma was found in five cases, 60% with intact capsule, and 40% with broken capsule. From the five cases, 60% were multiparae; 80% was developed during the third trimester of pregnancy; 20% during the second trimester; 80% showed pain associated with vomiting; 80% evolutionated towards eclampsia. These five cases of subcapsular hepatic hematoma, in principle, developed a subcapsular hepatic hematoma syndrome; ulteriorly with the development of shock, the subcapsular hepatic hematoma syndrome, appeared, with capsule rupture. We considered the hepatocellular hemorrhagic necrosis, hepatic subcapsular hematoma with intact Glisson capsule, and hepatic hematoma with broken capsule, three stages of the same disease.