Spontaneous liver rupture in pre-eclampsia

Abstract

Spontaneous liver rupture is a rare complication of preeclampsia. A booked. 30-year old woman with pre-eclampsia and twin gestation developed severe abdominal pains 10 hours after ^ supervised, vaginal delivery. On examination she was in hypovolemic shock with abdominal distension from hcmoperitoncum. Uterine rupture was suspected and she had a laparotomy after resuscitation. But at surgery the uterus was intact and instead liver rupture was found which w a s managed by omental packing after evacuating the clots. Postoperatively, the patient developed acute renal failure that responded well to treatment. The mother and her babies were discharged in good health after 15 days of multidisciplinary management