Introduction:

The rupture of a hepatic subcapsular hematoma is a rare complication associated with severe hypertensive disorders during pregnancy such as preeclampsia, eclampsia, and Hellp Syndrome.

Objective:

to highlight the relevance of hepatic rupture as a cause of death associated with Hellp Syndrome through the presentation of a clinical case.

Case presentation:

A 33-year-old patient who is in the 39th week of gestation is presented in this clinical case. The patient goes to the Emergency Service reporting abdominal pain in hypogastrium of 8 hours of evolution, nausea and malaise. She is in her 41st week of gestation and presents fetal death, signs of severe preeclampsia, type I Hellp Syndrome, and grade IV hepatic rupture. The symptomatology was exacerbated and caused an unfavorable evolution. Observation and subsequent diagnostic findings motivated the decision to proceed with surgery.

Conclusions:

The early identification of risk factors during pregnancy is a key factor in the prevention of diseases and their possible complications.

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