Abstract
Objective: The present study seeks to elucidate the case of a patient admitted to the high-risk service in gynecology and obstetrics at a hospital in a city in the metropolitan region of Belo Horizonte, with a diagnosis of HELLP syndrome complicated with hepatic rupture and conducted with conservative treatment. Case details: A 19-year-old primigravida with HELLP at 37 weeks of gestation, requiring urgent delivery via cesarean section and resulting in fetal death. The diagnosis of ruptured subcapsular liver hematoma was established in postpartum with abdominal CT imaging, after worsening of laboratory parameters. She was managed with plasmapheresis and methylprednisolone pulse therapy and made a full recovery after a one-month hospitalization. Final considerations: Early diagnosis and the monitoring of clinical e laboratory parameters are of utmost importance in these patients, given the severity and possible complications of the disease. Even if literature on the conservative management of ruptured subcapsular liver hematoma in patients with HELLP, this might potentially be the preferred alternative, if it is adequately indicated.