Aldemir, MBaç, BTaçyildiz, IYagmur, YKeles, C2024-04-242024-04-2420020941-1291https://doi.org/10.1007/s005950200074https://hdl.handle.net/11468/14515Subcapsular liver hematomas and ruptures are unusual fatal complications of HELLP (hemolysis. elevated liver enzymes. and low platelets) syndrome (HS). We present two cases of a spontaneous rupture of subcapsular liver hematoma occurring in HS and review the literature on this subjects. One case demonstrated a secondary rupture of a subcapsulary liver hematoma due to HS in one patient and HS associated with preeclampsia in another. The defects were on the media] and lateral sectors of the left lobe in one patient and on the medial sector of the right lobe in the other patient. In case 1 deep mattress sutures and omentoplasty were performed. and in the other case a defective area was closed with an absorbable gelatin sponge with a hemostatic effect. In addition, the liver was compressed by abdominal towels. A high index of suspicion and immediate recognition are keys to proper diagnosis and management of affected patients. The multidisciplinary approach to the management of these patients led to a remark-able decrease in the mortality rates. Less aggressive treatment is preferable to aggressive intervention such as a hepatic resection in such patients with coagulopathy.eninfo:eu-repo/semantics/closedAccessHellp SyndromeSubcapsular Liver HematomaRupturePregnancyArticle325450453WOS:0001758445000162-s2.0-00360158041206170010.1007/s005950200074Q1Q4