Management of subcapsular hepatic hematoma in a post-partum female with pre-eclampsia with severe features

Background: Subcapsular hematoma is a rare complication in patients with pre-eclampsia. The presence of this complication can be life-threatening. As this is a rare complication, this case report is designed to discuss the conservative management chosen for this case. Case: A 36 year old who was admitted for induction of labor for pre-gestational diabetes. She progressed to vaginal delivery complicated with some elevated blood pressures. She then developed pre-eclampsia with severe features with complications including: vision changes, hypotension and severe abdominal pain. Patient was found to have large subcapsular hematoma. She was managed conservatively without need for surgical intervention. Conclusion: Subcapsular hematoma is a rare complication in patients with pre-eclampsia. Management can include surgical, expectant or embolization. Without evidence of liver rupture, expectant management can be a reasonable approach to treatment.