J Korean Soc Radiol.  2010 Jul;63(1):29-32. 10.3348/jksr.2010.63.1.29.

Spontaneous Hepatic Rupture Associated with Preeclampsia: Treatment with Hepatic Artery Embolization

Affiliations
  • 1Department of Radiology, Soonchunhyang University Hospital, Korea. ysbysb@sch.ac.kr
  • 2Department of Obstetrics and Gynecology, Soonchunhyang University Hospital, Korea.
  • 3Department of Urology, Soonchunhyang University Hospital, Korea.
  • 4Department of Internal Medicins, Soonchunhyang University Hospital, Korea.

Abstract

Spontaneous rupture of the liver due to preeclampsia is a rare condition of pregnant women, and it can be very dangerous if not treated. We report here on a case of successfully treating spontaneous liver rupture associated with preeclampsia by performing transcatheter hepatic arterial embolization. A 41-year-old woman with spontaneous rupture of the liver associated with preeclampsia was treated by hepatic arterial embolization.


MeSH Terms

Adult
Female
Hepatic Artery
Humans
Liver
Liver Diseases
Pre-Eclampsia
Pregnancy Complications
Pregnant Women
Rupture
Rupture, Spontaneous

Figure

  • Fig. 1 A 41-year-old woman with hepatic rupture associated with preeclampsia. A, B. The computed tomography scan through the liver with intravenous contrast enhancement on the first postpartum day. A poorly circumscribed low density area in the both lobes of the liver with a large amount of subcapsular hematoma. C, D. The hepatic arteriogram shows displacement of hepatic vessels due to a large subcapsular hematoma with multiple small pseudoaneurysms (arrows) in both lobes. E. The post embolization hepatic arteriogram showing that both the lobar hepatic arteries are occluded. F. The computed tomography scan 10 days after embolization shows a large amount of subcapsular hematoma of the liver. G. The ultrasongraphy scan shows the barely visible subcapsular hematoma of the liver.


Reference

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