Hemorrhage and Rupture of an Unusual Benign Liver Lesion in Pregnancy: A Case Report

Ayushi Agarwal; Danny Joy; Prasenjit Das; Nihar R Dash; Deep N Srivastava; Kumble S Madhusudhan

doi:10.1016/j.jceh.2020.07.004

Hemorrhage and Rupture of an Unusual Benign Liver Lesion in Pregnancy: A Case Report

J Clin Exp Hepatol. 2021 Mar-Apr;11(2):260-263. doi: 10.1016/j.jceh.2020.07.004. Epub 2020 Jul 25.

Authors

Ayushi Agarwal¹, Danny Joy², Prasenjit Das³, Nihar R Dash², Deep N Srivastava¹, Kumble S Madhusudhan¹

Affiliations

¹ Departments of Radiodiagnosis, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.
² Gastrointestinal Surgery, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.
³ Pathology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.

Abstract

Liver rupture in pregnancy is an acute condition with significant risk to the mother and fetus. It is known to occur with tumors such as hepatic adenoma, infective causes such as abscess, granulomatous diseases, and parasitic infections, and rarely spontaneously. Most of these conditions have overlapping clinicoradiological findings, almost always requiring histopathological confirmation. We report a case of a ruptured hepatic lesion, with an unusual diagnosis of Bartonella henselae infection causing cat-scratch disease, in a 24-year-old pregnant lady.

Keywords: ALFP, Acute liver failure in pregnancy; CSD, Cat-scratch disease; CT, Computed tomography; FNH, Focal nodular hyperplasia; HCC, Hepatocellular carcinoma; HELLP, Hemolysis, elevated liver enzymes, and low platelet; IFA, Immunofluorescent assay; Ig-G, Immunoglobulin-G; MRI, Magnetic resonance imaging; PCR, Polymerase chain reaction; USG, Ultrasonography; cat-scratch disease; hemorrhagic liver lesion; liver rupture in pregnancy.