CC BY-NC-ND 4.0 · Z Geburtshilfe Neonatol 2023; 227(03): 219-226
DOI: 10.1055/a-1967-2451
Case Report

Conservative Treatment of Huge Hepatic Subcapsular Hematoma Complicated with Hepatic Infarction after Cesarean Section Caused by HELLP Syndrome – a Case Report and Literature Review

Jun Liu
1   Department of Obstetrics, Pingxiang Maternal and Child Health Hospital, Pingxiang, China
Li Liu
2   Department of Gynecology, Clinical Oncology School of Fujian Medical University,Fujian Cancer Hospital, Fuzhou, China
Guangyuan Liao
3   Department of Intensive Care Unit, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
Lifeng Yao
1   Department of Obstetrics, Pingxiang Maternal and Child Health Hospital, Pingxiang, China
› Author Affiliations


Hepatic subcapsular hematoma and hepatic infarction in labor are mostly secondary to HELLP syndrome and preeclampsia. There are few reported cases with a complicated diagnosis and treatment and high mortality. Here, we present a case of a huge hepatic subcapsular hematoma complicated with hepatic infarction after cesarean section that was secondary to HELLP syndrome and the patient was treated conservatively. Further, we have discussed the diagnosis and treatment of hepatic subcapsular hematoma and hepatic infarction caused by HELLP syndrome.

Publication History

Received: 16 March 2022

Accepted after revision: 12 October 2022

Article published online:
27 February 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (

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