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Case Reports in Medicine
Volume 2014, Article ID 312938, 4 pages
Case Report

Management of Hepatic Rupture Diagnosed after an Emergency Cesarean Section

1Department of Obstetrics and Gynecology, Alessandro Manzoni Hospital, Dell’Eremo Street 11, 23900 Lecco, Italy
2Department of Obstetrics and Gynecology, University of Bari, 70124 Bari, Italy
3Department of Obstetrics and Gynecology, Hospital of Sondrio, 23100 Sondrio, Italy

Received 12 February 2014; Accepted 13 May 2014; Published 31 August 2014

Academic Editor: Hitoshi Okamura

Copyright © 2014 Gianluca Raffaello Damiani et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


A careful management of hepatic capsular rupture, with massive hemoperitoneum which occurred 14 hours after an emergency cesarean section at 36 weeks of gestation, is meticulously reported. The grade of hepatic involvement varies from minor capsular laceration to extensive parenchymal rupture. Our management involved a combination of surgical interventions and aggressive supportive care. The patient was discharged after 53 days and 4 laparotomies and an unsuccessful attempt of superselective artery embolization. Ultrasound after 40 days from the last surgery showed uniform hepatic parenchyma free of focal lesions. Due to the rarity and the unpredictability nature of this devastating event we believe necessary to report our experience, reinforcing the importance of the postsurgery management.