Evidence map›Paper›PMID 42569204›Full record

ArticleCase reports in medicine2026

A Case Report of Subcapsular Hepatic Hematoma in a Multiparous Pregnant Woman at 21 Weeks of Gestation: A Fatal Complication of HELLP Syndrome.

Hamideh Parsapour, Neda Shafie, Seed Rouhollah Hosseini, Samar Moghadami, Zeinab Assareh

Abstract read
In one paragraph

Article in Case reports in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Hamideh ParsapourClinical Research Development Unit of Fatemieh Hospital, Hamadan University of Medical Sciences, Hamadan, Iran, umsha.ac.ir.ORCID https://orcid.org/0000-0003-4402-914X
Neda ShafieDepartment of Gynecology and Obstetrics, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Guilan, Iran, gums.ac.ir.ORCID https://orcid.org/0009-0008-0393-872X
Seed Rouhollah HosseiniDepartment of General Surgery, Faculty of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran, umsha.ac.ir.
Samar MoghadamiPreventive Gynecology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran, sbmu.ac.ir.ORCID https://orcid.org/0000-0001-8930-522X
Zeinab AssarehStudent Research Committee, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran, umsha.ac.ir.ORCID https://orcid.org/0009-0005-3236-1331

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

HELLP syndrome, characterized by hemolysis, elevated liver enzymes, and low platelets, is a severe form of preeclampsia that can result in rare life-threatening rupture of a hepatic hematoma, causing intra-abdominal hemorrhage. This complication has been reported in up to 1.6% of HELLP syndrome cases. Here, we report a patient who developed intra-abdominal hemorrhage due to a ruptured subcapsular hepatic hematoma at 21 weeks of gestation, representing an unusually early presentation of this complication. Despite surgical treatment, the pregnancy was lost, and 5 days after discharge, the patient died at home due to pulmonary embolism. This case highlights the potential for early and potentially fatal complications of HELLP syndrome.

Indexed as

case reportHELLP syndromeliver hemorrhagepreeclampsiapregnancysubcapsular hepatic hematoma

Identifiers

PMID42569204
PMCPMC13449168

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.