Ruptured Subcapsular Hematoma of the Liver in HELLP Syndrome: A Case Report

We report a case of spontaneous rupture of a subcapsular hematoma (SCH) of the liver complicating HELLP syndrome. The outcome was favorable thanks to polytransfusion and early liver packing. SCH is a rare complication of preeclampsia occurring most often in the context of HELLP syndrome. Hepatic capsular rupture is associated with significant maternal and fetal mortality. We propose, based on a clinical case, to review the different therapeutic options (medical, surgical and radio-interventional). It is difficult to establish a consensual therapeutic approach, but in all cases, management must be multidisciplinary and as conservative as possible when surgery is decided.