Successful Management of Intraoperatively Diagnosed Ruptured Spontaneous Sub-Capsular Liver Hematoma in a Woman with Preeclampsia

Dereje Tegene, Getahun Regassa, Aman Usu, Netsanet Ayalew Department of Obstetrics and Gynecology, Adama Hospital Medical College, Adama, EthiopiaCorrespondence: Dereje TegeneDepartment of Obstetrics and Gynecology, Adama Hospital Medical College, Adama, EthiopiaTel +251913909665Email fekadutd79@gma...

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Autores principales:	Tegene D, Regassa G, Usu A, Ayalew N
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	adama ethiopia preeclampsia ruptured subcapsular liver hematoma. Gynecology and obstetrics RG1-991
Acceso en línea:	https://doaj.org/article/f26060f48bce40d09e7bcc0ac7bec806
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spelling	oai:doaj.org-article:f26060f48bce40d09e7bcc0ac7bec8062021-11-30T18:50:37ZSuccessful Management of Intraoperatively Diagnosed Ruptured Spontaneous Sub-Capsular Liver Hematoma in a Woman with Preeclampsia1179-1411https://doaj.org/article/f26060f48bce40d09e7bcc0ac7bec8062021-11-01T00:00:00Zhttps://www.dovepress.com/successful-management-of-intraoperatively-diagnosed-ruptured-spontaneo-peer-reviewed-fulltext-article-IJWHhttps://doaj.org/toc/1179-1411Dereje Tegene, Getahun Regassa, Aman Usu, Netsanet Ayalew Department of Obstetrics and Gynecology, Adama Hospital Medical College, Adama, EthiopiaCorrespondence: Dereje TegeneDepartment of Obstetrics and Gynecology, Adama Hospital Medical College, Adama, EthiopiaTel +251913909665Email fekadutd79@gmail.comBackground: Ruptured subcapsular hematoma of the liver is one of the rare life-threatening complications of pregnancy and its incidence varies between 1/45,000 and 1/225,000 births.Case Presentation: A 32-year-old woman who claimed 9 months amenorrhea, presented to our hospital with elevated blood pressure and pushing down pain. After evaluation she was admitted to the labor ward with a diagnosis of latent first stage of labor and preeclampsia with severe features. She gave birth by outlet vacuum. Immediately following delivery she developed hypotension with signs of intra-abdominal fluid collection. Surgical exploration revealed massive hemoperitoneum with ruptured subcapsular hepatic hematoma. She was managed conservatively with pressure packing and drainage tube. The patient improved and was discharged after 12 days of hospital stay.Conclusion: Timely surgical intervention, multidisciplinary team, on-time availability of blood products, and proper postoperative follow up are crucial to optimize the patient outcome.Keywords: Adama, Ethiopia, preeclampsia, ruptured subcapsular liver hematomaTegene DRegassa GUsu AAyalew NDove Medical Pressarticleadamaethiopiapreeclampsiaruptured subcapsular liver hematoma.Gynecology and obstetricsRG1-991ENInternational Journal of Women's Health, Vol Volume 13, Pp 1175-1179 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	adama ethiopia preeclampsia ruptured subcapsular liver hematoma. Gynecology and obstetrics RG1-991
spellingShingle	adama ethiopia preeclampsia ruptured subcapsular liver hematoma. Gynecology and obstetrics RG1-991 Tegene D Regassa G Usu A Ayalew N Successful Management of Intraoperatively Diagnosed Ruptured Spontaneous Sub-Capsular Liver Hematoma in a Woman with Preeclampsia
description	Dereje Tegene, Getahun Regassa, Aman Usu, Netsanet Ayalew Department of Obstetrics and Gynecology, Adama Hospital Medical College, Adama, EthiopiaCorrespondence: Dereje TegeneDepartment of Obstetrics and Gynecology, Adama Hospital Medical College, Adama, EthiopiaTel +251913909665Email fekadutd79@gmail.comBackground: Ruptured subcapsular hematoma of the liver is one of the rare life-threatening complications of pregnancy and its incidence varies between 1/45,000 and 1/225,000 births.Case Presentation: A 32-year-old woman who claimed 9 months amenorrhea, presented to our hospital with elevated blood pressure and pushing down pain. After evaluation she was admitted to the labor ward with a diagnosis of latent first stage of labor and preeclampsia with severe features. She gave birth by outlet vacuum. Immediately following delivery she developed hypotension with signs of intra-abdominal fluid collection. Surgical exploration revealed massive hemoperitoneum with ruptured subcapsular hepatic hematoma. She was managed conservatively with pressure packing and drainage tube. The patient improved and was discharged after 12 days of hospital stay.Conclusion: Timely surgical intervention, multidisciplinary team, on-time availability of blood products, and proper postoperative follow up are crucial to optimize the patient outcome.Keywords: Adama, Ethiopia, preeclampsia, ruptured subcapsular liver hematoma
format	article
author	Tegene D Regassa G Usu A Ayalew N
author_facet	Tegene D Regassa G Usu A Ayalew N
author_sort	Tegene D
title	Successful Management of Intraoperatively Diagnosed Ruptured Spontaneous Sub-Capsular Liver Hematoma in a Woman with Preeclampsia
title_short	Successful Management of Intraoperatively Diagnosed Ruptured Spontaneous Sub-Capsular Liver Hematoma in a Woman with Preeclampsia
title_full	Successful Management of Intraoperatively Diagnosed Ruptured Spontaneous Sub-Capsular Liver Hematoma in a Woman with Preeclampsia
title_fullStr	Successful Management of Intraoperatively Diagnosed Ruptured Spontaneous Sub-Capsular Liver Hematoma in a Woman with Preeclampsia
title_full_unstemmed	Successful Management of Intraoperatively Diagnosed Ruptured Spontaneous Sub-Capsular Liver Hematoma in a Woman with Preeclampsia
title_sort	successful management of intraoperatively diagnosed ruptured spontaneous sub-capsular liver hematoma in a woman with preeclampsia
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/f26060f48bce40d09e7bcc0ac7bec806
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Successful Management of Intraoperatively Diagnosed Ruptured Spontaneous Sub-Capsular Liver Hematoma in a Woman with Preeclampsia

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