Impact of Severe COVID-19 on Liver Health During Pregnancy: A Case Report on Subcapsular Liver Hematoma
نویسندگان
1 Department of Obstetrics and Gynecology, Yas Complex Hospital, Tehran University of Medical Sciences, Tehran, Iran
2 Department of Obstetrics and Gynecology, Yas Complex Hospital, Tehran University of Medical Sciences, Tehran, Iran
3 Department of Obstetrics and Gynecology, Yas Complex Hospital, Tehran University of Medical Sciences, Tehran, Iran
4 Department of Obstetrics and Gynecology, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran
5 Department of Obstetrics and Gynecology, Yas Complex Hospital, Tehran University of Medical Sciences, Tehran, Iran
6 Department of Obstetrics and Gynecology, Yas Complex Hospital, Tehran University of Medical Sciences, Tehran, Iran
7 Department of Infectious diseases, Yas Complex Hospital, Tehran University of Medical Sciences, Tehran, Iran
8 Student Research Committee, Faculty of medicine, Tehran University of Medical Sciences, Tehran, Iran.
doi
10.30491/ijtmgh.2024.472511.1425چکیده
Subcapsular liver hematoma (SLH) is a rare and life-threatening condition that can complicate pregnancies, particularly in association with hypertensive disorders like preeclampsia. The incidence of SLH with rupture during pregnancy is extremely low, ranging from 1 in 40,000 to 1 in 250,000, but it carries a high maternal mortality rate. The exact pathogenesis remains unclear, though it is believed to involve endothelial dysfunction and inappropriate activation of the coagulation cascade. This case report presents a preeclamptic pregnant patient with severe respiratory distress due to SARS-CoV-2 and a rare complication of subcapsular liver hematoma. The patient underwent emergency surgery, but despite prompt intervention, the outcome was unfavorable. This case highlights the need for early diagnosis and a multidisciplinary approach in managing such high-risk pregnancies.
