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Subcapsular Hepatic Hematoma in Preeclampsia:A 25-Year Series of 23 Cases

Author

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  • Amine Raja

    (Abderrahim Harouchi Mother and Child University Hospital, Morocco / Hassan II University, Morocco)

  • Maria Benzakour

    (Abderrahim Harouchi Mother and Child University Hospital, Morocco / Hassan II University, Morocco)

  • Amine Afif

    (Abderrahim Harouchi Mother and Child University Hospital, Morocco / Hassan II University, Morocco)

  • Youssef Belkhou

    (Abderrahim Harouchi Mother and Child University Hospital, Morocco / Hassan II University, Morocco)

  • Smeil Elyoussoufi

    (Abderrahim Harouchi Mother and Child University Hospital, Morocco / Hassan II University, Morocco)

  • Marouan Harrit

    (Abderrahim Harouchi Mother and Child University Hospital, Morocco / Hassan II University, Morocco)

  • Said Salmi

    (Abderrahim Harouchi Mother and Child University Hospital, Morocco / Hassan II University, Morocco)

Abstract

Background: Subcapsular hepatic hematoma (SHIH) is a rare but lifethreatening complication of severe preeclampsia and HELLP syndrome. This study aims to analyze the epidemiological, clinical, and therapeutic characteristics of SHIH and to identify prognostic factors associated with maternal mortality over a 25-year period in a single tertiary center. Methods: We conducted a retrospective cohort study of all patients diagnosed with SHIH in the context of preeclampsia at our institution between January 2000 and December 2024. We analyzed maternal characteristics, clinical presentation, biological and radiological findings, management strategies, and maternal-fetal outcomes. A multivariate logistic regression was performed to identify independent risk factors for mortality. Results: Twenty-three patients were included. The overall incidence was 1 in 10,435 deliveries. Maternal mortality was 34.8% (8/23). The main risk factors for mortality identified in multivariate analysis were hemorrhagic shock (OR = 36.0, p

Suggested Citation

  • Amine Raja & Maria Benzakour & Amine Afif & Youssef Belkhou & Smeil Elyoussoufi & Marouan Harrit & Said Salmi, 2026. "Subcapsular Hepatic Hematoma in Preeclampsia:A 25-Year Series of 23 Cases," European Journal of Medical and Health Sciences, European Open Science, vol. 8(2), pages 14-21, March.
    • Handle: RePEc:epw:ejmed0:v:8:y:2026:i:2:id:42464
    DOI: 10.24018/ejmed.2026.8.2.42464
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