HEPATIC RUPTURE IN PREGNANCY
Hepatic rupture is a rare but catastrophic occurrence in pregnancy it may be spontaneous but most are associated with preeclampsia and eclampsia associated disseminated intravascular coagulation.
• Rupture usually occurs close to term or immediately postpartum.
• Right upper quadrant pain and tendernes, hemorrhagic shock ,distended abdomen
• Rupture of the liver capsule is thought to result from subcapsular bleeding and can be confirmed by sonography