La rotura subcapsular hepática como complicación grave y altamente letal del síndrome de HELLP se presenta en un 2 a 3% de los casos, con una mortalidad reportada de un 33% con diversas técnicas quirúrgicas. En base a 4 casos se presenta la propuesta de una técnica quirúrgica que reporta según nuestra experiencia un 100% de sobrevida.
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