MOJ
eISSN: 2379-6162
Submit manuscript...
Research Article Volume 14 Issue 2
Multidisciplinary management of spontaneous hepatic rupture in preterm pregnancy: case report and literature review
Carlos Quesnel García-Benitez, Luis Alejandro Weber Sánchez, Gina Daniela Porras-Ibarra, Leopoldo Santiago-Sanabria, Ximena A van Tienhoven, Verónica Ruiz-Vasconcelos, Jean Paul Vázquez-Mathieu
Received: May 18, 2026 | Published: June 3, 2026
Citation: García-Benit CQ, Sánchez LAW, Porras-Ibarra GD, et al. Multidisciplinary management of spontaneous hepatic rupture in preterm pregnancy: case report and literature review. MOJ Surg. 2026;14(1):35-38. DOI: 10.15406/mojs.2026.14.00310
Abstract
Background: Spontaneous hepatic rupture during pregnancy is a rare but potentially fatal complication associated with hypertensive disorders of pregnancy and maternalfetal mortality rates reaching up to 80%. We report the case of a 45-year-old woman with spontaneous hepatic rupture at 31 weeks of gestation associated with superimposed preeclampsia on chronic hypertension. Case presentation: A 45-year-old gravida 2, para 0, abortus 1 woman with untreated chronic hypertension and no prenatal follow-up presented with severe epigastric pain at 31 weeks of gestation. Obstetric ultrasound demonstrated intrauterine fetal demise. Emergency laparotomy revealed 2800 mL hemoperitoneum and a ruptured subcapsular hepatic hematoma. Hepatic packing and multidisciplinary critical care management were successfully performed. Conclusion: Spontaneous hepatic rupture should be suspected in hypertensive pregnant patients presenting with sudden epigastric pain and hemodynamic instability. Early diagnosis and immediate multidisciplinary surgical management are crucial to reduce maternal and fetal morbidity and mortality.
Keywords: spontaneous hepatic rupture; pregnancy, preeclampsia, hellp syndrome, hemoperitoneum, shock
©2026 García-Benit, et al. This is an open access article distributed under the terms of the, which permits unrestricted use, distribution, and build upon your work non-commercially.