Spontaneous hepatic hemorrhage during pregnancy

Aziz, Salim; Merrell, Ronald C.; Collins, John A.

doi:10.1016/0002-9610(83)90311-2

Cited by 29 publications

(8 citation statements)

References 16 publications

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“…The pathogenesis of subcapsular liver hematoma and subsequent rupture is unclear [6,7]. Whatever evidence is available to explain the pathogenesis comes from the liver autopsies of the patients with pre-eclampsia and hepatic rupture causing maternal death.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous subcapsular hematoma of liver in pregnancy of unknown etiology – Conservative management: A case report

Tyagi¹,

Shamas²,

Cameron³

2009

The Journal of Maternal-Fetal & Neonatal Medicine

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Mrs. AB, a 40-year-old woman, in her second pregnancy had a spontaneous hematoma of liver of unknown etiology that was managed successfully conservatively under the umbrella of the multidisciplinary care. The subcapsular hematoma was diagnosed at 31 weeks gestational age while she was being investigated because of sudden and gross drop of hemoglobin from 12.8 to 8 g/dl in 2 weeks duration. The dilemma remains as how to manage her future pregnancies and what are the risks of recurrence.

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Section: Discussionmentioning

confidence: 99%

Spontaneous subcapsular hematoma of liver in pregnancy of unknown etiology – Conservative management: A case report

Tyagi¹,

Shamas²,

Cameron³

2009

The Journal of Maternal-Fetal & Neonatal Medicine

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“…The pathogenesis of subcapsular liver hematoma and subsequent rupture is unclear. Fibrin deposition in the hepatic sinusoids is speculated to be the initiating event [9]. Fibrin deposition may lead to platelet activation, thrombus formation, occlusion of capillaries, and subsequent hepatic hemorrhage and necrosis.…”

Section: Discussionmentioning

confidence: 99%

An alarming but self-limited case of isolated large spontaneous liver hematoma in pregnancy

Shakya

Regmi²,

Sah³

et al. 2013

Pan Afr Med J

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Spontaneous subcapsular liver hematoma is rare but potentially life-threatening complication of pregnancy usually associated with severe preeclampsia and HELLP syndrome (hemolysis, elevated liver enzymes, and low platelets). We present here a case of such a large spontaneous liver hematoma presenting in pregnancy, but without other known associated abnormalities, which has not been described before and it resolved on itself without any intervention.

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“…Utley (1971) noted that 58% of patients with hepatic rupture had pre-eclampsia and 16% eclampsia; but it is noteworthy that although pre-eclampsia is commoner in primigravidae, hepatic rupture occurs far more frequently in multigravid patients in the ratio 1O:l (Asiz et al 1983). Utley (1971) noted that 58% of patients with hepatic rupture had pre-eclampsia and 16% eclampsia; but it is noteworthy that although pre-eclampsia is commoner in primigravidae, hepatic rupture occurs far more frequently in multigravid patients in the ratio 1O:l (Asiz et al 1983).…”

Section: Discussionmentioning

confidence: 99%

Conservative management of spontaneous rupture of the liver in pregnancy. Case report

Woodhouse¹

1986

BJOG

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Spontaneous hepatic hemorrhage during pregnancy

Cited by 29 publications

References 16 publications

Spontaneous subcapsular hematoma of liver in pregnancy of unknown etiology – Conservative management: A case report

Spontaneous subcapsular hematoma of liver in pregnancy of unknown etiology – Conservative management: A case report

An alarming but self-limited case of isolated large spontaneous liver hematoma in pregnancy

Conservative management of spontaneous rupture of the liver in pregnancy. Case report

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