Evidence map›Paper›PMID 42211903›Full record

ArticleGynecology and pelvic medicine2025

Laparoscopic surgery for subcapsular hematoma of the liver with preeclampsia: a case report.

Guangyu Liu, Hongmei Yang

Abstract readCase Reports
In one paragraph

Article in Gynecology and pelvic medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Guangyu LiuDepartment of Obstetrics and Gynecology, West China Second University Hospital of Sichuan University, Chengdu, China.
Hongmei YangDepartment of Obstetrics and Gynecology, West China Second University Hospital of Sichuan University, Chengdu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Subcapsular liver hematoma (SLH) is a rare but potentially life-threatening complication of pregnancy. And SLH is a severe manifestation of hypertensive disorders in pregnancy. Early prevention, prompt identification, and multidisciplinary management are crucial. We present a case of SLH successfully treated by laparoscopic surgery. Case Description: This paper described the case of a 37-year-old Chinese woman (gravida 6, para 0) who was diagnosed with preeclampsia and hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome upon admission. After admission, the patient was found to have elevated blood pressure and positive urine protein. She developed right upper abdominal pain before delivery, and abnormal liver function and thrombocytopenia during the perinatal period. The patient subsequently developed a grade III SLH and received treatment involving cesarean section followed by laparoscopic hematoma evacuation. The fetus was rapidly delivered, with Apgar scores of 10 at 1, 5, and 10 minutes. And the patient recovered well after delivery. Conclusions: This case provides a valuable idea for managing incidentally detected hepatic subcapsular hematoma rupture during cesarean delivery. This therapeutic strategy not only minimizes iatrogenic surgical trauma under the premise of ensuring maternal-fetal safety but also facilitates multidisciplinary collaboration and the accumulation of high-quality clinical evidence. Consequently, it furnishes a safe and effective therapeutic paradigm for the management of rare and life-threatening complications in obstetric practice.

Indexed as

case reporthemolysis, elevated liver enzymes, and low platelets syndrome (HELLP syndrome)laparoscopic surgerypreeclampsiaSubcapsular liver hematoma (SLH)

Identifiers

PMID42211903
PMCPMC13215051

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