A Case Report of Subcapsular Hepatic Hematoma in a Multiparous Pregnant Woman at 21 Weeks of Gestation: A Fatal Complication of HELLP Syndrome.

HELLP syndrome, characterized by hemolysis, elevated liver enzymes, and low platelets, is a severe form of preeclampsia that can result in rare life-threatening rupture of a hepatic hematoma, causing intra-abdominal hemorrhage. This complication has been reported in up to 1.6% of HELLP syndrome cases. Here, we report a patient who developed intra-abdominal hemorrhage due to a ruptured subcapsular hepatic hematoma at 21 weeks of gestation, representing an unusually early presentation of this complication. Despite surgical treatment, the pregnancy was lost, and 5 days after discharge, the patient died at home due to pulmonary embolism. This case highlights the potential for early and potentially fatal complications of HELLP syndrome.