{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T16:31:26Z","timestamp":1775493086612,"version":"3.50.1"},"reference-count":24,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2023,2,27]],"date-time":"2023-02-27T00:00:00Z","timestamp":1677456000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Geburtshilfe Neonatol"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Hepatic subcapsular hematoma and hepatic infarction in labor are mostly secondary\n                    to HELLP syndrome and preeclampsia. There are few reported cases with a\n                    complicated diagnosis and treatment and high mortality. Here, we present a case\n                    of a huge hepatic subcapsular hematoma complicated with hepatic infarction after\n                    cesarean section that was secondary to HELLP syndrome and the patient was\n                    treated conservatively. Further, we have discussed the diagnosis and treatment\n                    of hepatic subcapsular hematoma and hepatic infarction caused by HELLP\n                    syndrome.<\/jats:p>","DOI":"10.1055\/a-1967-2451","type":"journal-article","created":{"date-parts":[[2023,2,27]],"date-time":"2023-02-27T19:13:11Z","timestamp":1677525191000},"page":"219-226","source":"Crossref","is-referenced-by-count":6,"title":["Conservative Treatment of Huge Hepatic Subcapsular Hematoma\n                    Complicated with Hepatic Infarction after Cesarean Section Caused by HELLP\n                    Syndrome \u2013 a Case Report and Literature Review"],"prefix":"10.1055","volume":"227","author":[{"given":"Jun","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Obstetrics, Pingxiang Maternal and Child Health Hospital,\n                    Pingxiang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Gynecology, Clinical Oncology School of Fujian Medical\n                    University,Fujian Cancer Hospital, Fuzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guangyuan","family":"Liao","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Unit, The Third Affiliated Hospital of\n                    Guangzhou Medical University, Guangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lifeng","family":"Yao","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Pingxiang Maternal and Child Health Hospital,\n                    Pingxiang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,2,27]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1492","DOI":"10.1097\/AOG.0000000000003892","article-title":"Gestational Hypertension and Preeclampsia: ACOG Practice Bulletin Summary,\n                    Number 222","volume":"135","year":"2020","journal-title":"Obstet Gynecol"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1016\/j.preghy.2018.05.004","article-title":"The hypertensive disorders of pregnancy: ISSHP classification, diagnosis\n                    & management recommendations for international practice","volume":"13","author":"M A Brown","year":"2018","journal-title":"Pregnancy Hypertens"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"1000","DOI":"10.1016\/0002-9378(93)90043-I","article-title":"Maternal morbidity and mortality in 442 pregnancies with hemolysis, elevated\n                    liver enzymes, and low platelets (HELLP syndrome)","volume":"169","author":"B M Sibai","year":"1993","journal-title":"Am J Obstet Gynecol"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"859","DOI":"10.1016\/j.ajog.2005.02.113","article-title":"Syndrome of hemolysis, elevated liver enzymes, and low platelet count: a severe\n                    consequence of hypertension in pregnancy. 1982","volume":"193","author":"L Weinstein","year":"2005","journal-title":"Am J Obstet Gynecol"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1111\/ajo.13318","article-title":"Managing a rare complication of HELLP syndrome in Australia: Spontaneous liver\n                    hematoma in pregnancy","volume":"61","author":"A Gupta","year":"2021","journal-title":"Aust N Z J Obstet Gynaecol"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1080\/0144361031000074583","article-title":"Surviving hepatic rupture in pregnancy--a literature review with an illustrative\n                    case report","volume":"23","author":"F A Marsh","year":"2003","journal-title":"J Obstet Gynaecol"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1016\/j.jemermed.2010.05.091","article-title":"Subcapsular hepatic hematoma revealed by hemorrhagic shock in a preeclamptic\n                    patient","volume":"42","author":"S Zidouh","year":"2012","journal-title":"J Emerg Med"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1016\/S0002-9378(03)00759-2","article-title":"Ruptured subcapsular liver hematoma in pregnancy: a case report of nonsurgical\n                    management","volume":"190","author":"K L Carlson","year":"2004","journal-title":"Am J Obstet Gynecol"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1016\/j.ajog.2003.08.029","article-title":"Subcapsular liver hematoma in HELLP syndrome: Evaluation of diagnostic and\n                    therapeutic options \u2013 a unicenter study","volume":"190","author":"C Wicke","year":"2004","journal-title":"Am J Obstet Gynecol"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1097\/GRF.0000000000000253","article-title":"Diagnosis and management of HELLP syndrome complicated by liver hematoma","volume":"60","author":"A Ditisheim","year":"2017","journal-title":"Clin Obstet Gynecol"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.ejogrb.2012.09.026","article-title":"Pathogenesis of the syndrome of hemolysis, elevated liver enzymes, and low\n                    platelet count (HELLP): a review","volume":"166","author":"U Abildgaard","year":"2013","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/j.preghy.2019.11.012","article-title":"The role of hepatic sinusoidal obstruction in the pathogenesis of the hepatic\n                    involvement in HELLP syndrome: Exploring the literature","volume":"19","author":"V von Salmuth","year":"2020","journal-title":"Pregnancy Hypertens"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"1538","DOI":"10.1016\/0002-9378(92)91735-S","article-title":"Hepatic histopathologic condition does not correlate with laboratory\n                    abnormalities in HELLP syndrome (hemolysis, elevated liver enzymes, and low\n                    platelet count)","volume":"167","author":"J R Barton","year":"1992","journal-title":"Am J Obstet Gynecol"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"101498","DOI":"10.1016\/j.clinre.2020.07.005","article-title":"Acute liver failure and HELLP syndrome: A clinical case and literature\n                    review","volume":"45","author":"A Mazzola","year":"2021","journal-title":"Clin Res Hepatol Gastroenterol"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"1820","DOI":"10.1016\/S0002-9378(96)70216-8","article-title":"Hepatic imaging in HELLP syndrome (hemolysis, elevated liver enzymes, and low\n                    platelet count)","volume":"174","author":"J R Barton","year":"1996","journal-title":"Am J Obstet Gynecol"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1097\/AOG.0b013e318245c283","article-title":"Hepatic rupture in hemolysis, elevated liver enzymes, low platelets\n                    syndrome","volume":"119","author":"S Grand\u2019Maison","year":"2012","journal-title":"Obstet Gynecol"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1016\/0002-9378(90)90376-I","article-title":"The HELLP syndrome (hemolysis, elevated liver enzymes, and low platelets): much\n                    ado about nothing?","volume":"162","author":"B M Sibai","year":"1990","journal-title":"Am J Obstet Gynecol"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1097\/00006254-197611000-00001","article-title":"Rupture of the liver associated with pregnancy: a review of the literature and\n                    report of 2 cases","volume":"31","author":"K A Bis","year":"1976","journal-title":"Obstet Gynecol Surv"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/j.ajog.2006.01.016","article-title":"Characteristics and treatment of hepatic rupture caused by HELLP syndrome","volume":"195","author":"A C Araujo","year":"2006","journal-title":"Am J Obstet Gynecol"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1186\/s12884-018-1799-9","article-title":"Hepatic infarction induced by HELLP syndrome: a case report and review of the\n                    literature","volume":"18","author":"Q Guo","year":"2018","journal-title":"BMC Pregnancy Childbirth"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"103248","DOI":"10.1016\/j.transci.2021.103248","article-title":"The effect of therapeutic plasma exchange on management of HELLP Syndrome: The\n                    report of 47 patients","volume":"60","author":"M A Erkurt","year":"2021","journal-title":"Transfus Apher Sci"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"512","DOI":"10.1308\/003588414X13946184901362","article-title":"The management of the surgical complications of HELLP syndrome","volume":"96","author":"S G Wilson","year":"2014","journal-title":"Ann R Coll Surg Engl"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1016\/S0301-2115(01)00358-X","article-title":"Surgical treatment of HELLP syndrome-associated liver rupture \u2013 an\n                    update","volume":"99","author":"T Reck","year":"2001","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1111\/j.1432-2277.1993.tb00643.x","article-title":"Acute liver necrosis in the HELLP syndrome: successful outcome after orthotopic\n                    liver transplantation. A case report.","volume":"6","author":"J Erhard","year":"1993","journal-title":"Transpl Int"}],"container-title":["Zeitschrift f\u00fcr Geburtshilfe und Neonatologie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1967-2451.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T12:59:21Z","timestamp":1764161961000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1967-2451"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,27]]},"references-count":24,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2023,6,6]]},"published-print":{"date-parts":[[2023,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1967-2451","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0948-2393","1439-1651"],"issn-type":[{"value":"0948-2393","type":"print"},{"value":"1439-1651","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,27]]}}}