Massive Hepatic Infarction in Severe Preeclampsia as Part of the HELLP Syndrome: A Case Report

Abstract

Hepatic infarction is a rare and fatal complication associated with hemolysis, elevated liver enzymes and low platelet syndrome. It can progress to fulminating liver failure and cause death in 16% of cases. A hepatic infarction is an extraordinarily rare complication of preeclampsia. The diagnosis should be suspected by noting elevated liver enzymes, thrombocytopenia and typical images of hepatic infarction on abdominal computed tomography. Early diagnosis and multidisciplinary management are necessary to prevent liver failure and death.