International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 4, Issue 11 | Case Report | Open Access

Spontaneous Liver Capsule Rupture in Preeclampsia: A Rare and Complex Case – Report and Literature Review

Gunjan Bahuguna^*

Gunjan Bahuguna*, Tamizian Onnig, Shuchi Dixit, Sinduja Palanisamy, Anuja Joshi

University Hospitals of Derby and Burton NHS Foundation Trust, Derby, United Kingdom

^*Correspondence to: Gunjan Bahuguna 

Abstract

Liver hematoma or rupture is a rare but serious complication of severe preeclampsia, presenting with upper abdominal pain, nausea, vomiting, and deranged liver function tests. Early diagnosis using ultrasound, CT, or MRI is crucial, though in acute cases imaging may not be possible. Management depends on patient stability: stable patients may be managed conservatively, while unstable patients often require damage control surgery with liver packing and hemostatic agents, sometimes supplemented by interventional radiology or, rarely, liver transplant. Rapid resuscitation, correction of coagulation and electrolyte abnormalities, and a multidisciplinary approach involving obstetricians, surgeons, interventional radiologists, and intensivists are key to save a life. Early recognition and prompt intervention, as illustrated in the case of a 37-year-old primigravida with hepatic rupture.

Keywords:

Liver hematoma; Liver rupture; HELLP; Severe preeclampsia; Damage control surgery

Citation:

Gunjan Bahuguna, Tamizian Onnig, Shuchi Dixit, Sinduja Palanisamy, Anuja Joshi. Spontaneous Liver Capsule Rupture in Preeclampsia: A Rare and Complex Case – Report and Literature Review. Int Clinc Med Case Rep Jour. 2025;4(11):1-7.