Somayeh Khanjani
1 
, Sheida Shabanian
2* 1 Department of Obstetrics and Gynecology, Isfahan University of Medical Sciences, Maternal and Fetal Medicine Fellowship, Isfahan, Iran
2 Department of Gynecology and Obstetrics, Shahrekord University of Medical Sciences, Maternal and Fetal Medicine Fellowship Assistant, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
Hepatic subcapsular hematoma is a rare but potentially life-threatening complication that is caused by preeclampsia and hemolysis, elevated liver enzymes, and low platelet (HELLP) syndrome, which may be manifest with nonspecific signs and symptoms. The present case was a 36-year-old woman with a secondary subcapsular liver hematoma as a rare complication of HELLP syndrome. The patient complained of nausea, vomiting, pain in the right upper quadrant of the abdomen, epigastric pain, and severe pain in the right shoulder. On the fourth day after delivery, a computed tomography (CT) scan was performed on the patient, showing a large subcapsular hematoma around the liver. Six weeks after delivery, the follow-up ultrasound exhibited no residual hematoma or free peritoneal fluid, and the patient’s blood pressure was controlled without taking medication.