World Journal of
Pharmaceutical and Life Sciences

RUPTURE OF A SUBCAPSULAR HEMATOMA OF THE LIVER: ABOUT A CASE

*R. Sabiri, L. Ngouomo, Y. Gourja, M. Jalal, A. Lamrissi and S. Bouhya

ABSTRACT

Subcapsular hematoma of the liver (HSCF) is defined as an anatomo-clinical entity corresponding to the appearance of a hematic collection located between the intact GLISSON capsule and the hepatic parenchyma. It is a rare complication of pregnancy with high maternal-fetal mortality, most often occurring in the context of pre-eclampsia or HELLP syndrome (Hemolysis, Elevated Liver enzymes, and Low Platelets Syndrome). case described in acute hepatic steatosis during pregnancy. We report the case of a 25-year-old parturient, primiparous, without history, admitted to the emergency room for a state of shock on a pregnancy of 29 weeks of amenorrhea. Ultrasound showed a subcapsular hematoma of the ruptured liver. Urgent surgical exploration was required, during which a rupture of the subcapsular hematoma of the liver was revealed, accompanied by a state of hemorrhagic shock. Treatment consisted of polytransfusion with suturing of the liver lesion without paking. The evolution was favorable with clinical and biological normalization and the patient was declared discharged on D10 of her hospitalization.

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