{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:07:19Z","timestamp":1786122439728,"version":"build-2736575974"},"reference-count":12,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T00:00:00Z","timestamp":1786060800000},"content-version":"vor","delay-in-days":218,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Medicine"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>HELLP syndrome, characterized by hemolysis, elevated liver enzymes, and low platelets, is a severe form of preeclampsia that can result in rare life\u2010threatening rupture of a hepatic hematoma, causing intra\u2010abdominal hemorrhage. This complication has been reported in up to 1.6% of HELLP syndrome cases. Here, we report a patient who developed intra\u2010abdominal hemorrhage due to a ruptured subcapsular hepatic hematoma at 21\u2009weeks of gestation, representing an unusually early presentation of this complication. Despite surgical treatment, the pregnancy was lost, and 5\u2009days after discharge, the patient died at home due to pulmonary embolism. This case highlights the potential for early and potentially fatal complications of HELLP syndrome.<\/jats:p>","DOI":"10.1155\/carm\/4808034","type":"journal-article","created":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T10:37:21Z","timestamp":1786099041000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Case Report of Subcapsular Hepatic Hematoma in a Multiparous Pregnant Woman at 21\u2009Weeks of Gestation: A Fatal Complication of HELLP Syndrome"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4402-914X","authenticated-orcid":false,"given":"Hamideh","family":"Parsapour","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0393-872X","authenticated-orcid":false,"given":"Neda","family":"Shafie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seed Rouhollah","family":"Hosseini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8930-522X","authenticated-orcid":false,"given":"Samar","family":"Moghadami","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-3236-1331","authenticated-orcid":false,"given":"Zeinab","family":"Assareh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,7]]},"reference":[{"key":"e_1_2_10_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2023.04.046"},{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.3390\/medicina58020326"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/cld.0000000000000088"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.3109\/01443615.2013.775231"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.230851"},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.crwh.2019.e00169"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/585672"},{"key":"e_1_2_10_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/grf.0000000000000253"},{"key":"e_1_2_10_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2008.06.342"},{"key":"e_1_2_10_10_2","first-page":"843","article-title":"Pulmonary Embolism During Pregnancy and the Postpartum Period","author":"Dikis O. S.","year":"2022","journal-title":"ENT Diseases: Diagnosis and Treatment During Pregnancy and Lactation"},{"key":"e_1_2_10_11_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-1697664"},{"key":"e_1_2_10_12_2","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2022.856923"}],"container-title":["Case Reports in Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/carm\/4808034","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/carm\/4808034","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/carm\/4808034","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T10:37:27Z","timestamp":1786099047000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/carm\/4808034"}},"subtitle":[],"editor":[{"given":"Semonti","family":"Nandi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/carm\/4808034"],"URL":"https:\/\/doi.org\/10.1155\/carm\/4808034","archive":["Portico"],"relation":{},"ISSN":["1687-9627","1687-9635"],"issn-type":[{"value":"1687-9627","type":"print"},{"value":"1687-9635","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-03-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"4808034"}}