Fig. 2
From: Liver imaging and pregnancy: what to expect when your patient is expecting
Hepatic rupture in a 27-year-old woman around childbirth. The patient complained of severe right upper quadrant and scapular pain. Alanine aminotransferase and aspartate aminotransferase were augmented, prothrombin time was 30%. Transverse abdominal US scan (a) shows the presence of hypoechoic areas (*), free fluid around the liver (stars), and striated thickening of the gallbladder walls (arrow), raising suspicion for pre-eclampsia. Axial (b) and coronal (c) CT scan on portal venous phase (b) demonstrate hepatic lacerations (arrowhead) with surrounding hemoperitoneum and a large peritoneal hematoma (*). Patient underwent emergency cesarean section and liver transplant