[Liver rupture in pregnancy, report of a rare case]

ABSTRACT

Rupture of the liver is a rare and threatening complication during pregnancy. This important accident is more common during preeclampcia and HELLP syndrome. It is also reported in old mu1tiparous.Hemorrhagic shock is usually the most common symptom and sign. Maternal and fetal mortality rate is more than 50%. A 39 year old gravid 9 para woman presented to the emergency room with abdominal pain and signs of hemorrhagic shock and, fetal distress. Urgent laparatomy was planned, the uterus was intact and gross hemorrhage was present in the pelvic and abdominal cavity. The fetus was delivered by cesarean section and the exploration proved 8 cm rupture in the right lobe of liver which was repaired. Both mother and fetus were saved from the effects of this dangerous complication. Liver rupture should be considered when there occur pain in the upper part of the abdomen and signs of hemorrhagic shock, even in the case of an uncomplicated pregnancy