A pregnant woman admitted with pre eclampsia complicated with HELLP syndrome. She suddenly developed hypotension, breathlessness and right hypochondriac pain. USG showed hemoperitoneum. Most probable diagnosis is?
Peripoal hemorrhagic necrosis (characteristic hepatic lesion in pre eclampsia)in the liver periphery with some degree of hepatic infarction accompanied with hemorrhage Clinical presentation: moderate to severe right-upper quadrant or midepigastric pain hepatic region tenderness. raised liver enzymes, hemolysis and thrombocytopenia( HELLP Syndrome) hemorrhagic infarct may form a subcapsular hematoma which may rupture leading to sudden hypotension, breathlessness, hemoperitoneum.
Abruptio placentae
DIC
Rupture of hepatic hematoma
Pa of pre-eclamptic toxemia
Pregnancy induced Hypeension