Abstract
hematoma size or rupturewith signs of hemodynamic decompensation. Surgical procedures typically include temporary evacuation of the hematoma, packing of the liver, suturing of the lesions, and ligation or embolization of the hepatic artery; in cases of severe liver damage and devascularized areas, liver resection can be effective. Transplantation can be necessary, but should be limited to selected cases in which massive necrosis and liver failure or, as in our case, deep lacerations involving both lobes with uncontrollable bleeding exclude any other therapeutic option. It is important to emphasize the need for patients with HELLP and liver-related complications to be referred promptly to tertiary centers where expert teams of obstetricians, anesthesiologists, surgeons, radiologists, and hepatologists can offer a multidisciplinary approach for optimal treatment. Conflict of interest
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