Shahrekord University of Medical Sciences Journal of Shahrekord University of Medical Sciences 2717-0071 25 2 2023 02 21 The conservative management of a large hepatic subcapsular hematoma in a pregnant woman with preeclampsia: A case report 111 113 10.34172/jsums.2023.563 EN Somayeh Khanjani https://orcid.org/0000-0002-2911-2001 Sheida Shabanian https://orcid.org/0000-0002-2785-8723 Journal Article 10.34172/jsums.2023.563 2021 09 29 2022 06 25 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.