A subcapsular hematoma may develop in a pregnant woman. Rupture can result in massive intra-abdominal hemorrhage with significant maternal and fetal mortality.
Most cases occur in the third trimester or shortly after delivery.
Risk factors for liver hematoma:
(1) multiparity
(2) history of liver hematoma in a previous pregnancy
Conditions associated with liver hematoma:
(1) HELLP syndrome
(2) other forms of eclampsia/preeclampsia
(3) a history of current cocaine abuse
(4) recent trauma to the abdomen
(5) subcapsular hemangioma
(6) hepatic neoplasm
(7) hepatic abscess
(8) acute fatty liver of pregnancy
where:
• Other drugs such as methamphetamine might also be a risk factor.
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