[Hepatic subcapsular hematoma: a case report and management update].

J Gynecol Obstet Biol Reprod (Paris)

Service de gynécologie-obstétrique, université Pierre et Marie Curie, hôpital Saint-Antoine, AP-HP, 184 rue du Faubourg-Saint-Antoine, Paris, France.

Published: June 2012

Hepatic subcapsular hematoma (HSH) is a rare complication of pregnancy that keeps a materno-fetal high mortality rate. Given this severity, HSH management requires a prompt diagnosis and an appropriate care. Before focusing on the current management strategy of HSH, we illustrate this article with a clinical case presenting an original method of abdominal exploration, which has not been described to our knowledge. Thus, taking into account the presence of a moderate hemoperitoneum during a caesarean section procedure for HSH, introduction of laparoscopy through the same incision allowed a satisfactory evaluation of the abdominal cavity and hepatic area without performing an invasive midline laparotomy.

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http://dx.doi.org/10.1016/j.jgyn.2011.11.003DOI Listing

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