Which signs might indicate a liver rupture?

The signs that might indicate a liver rupture include abdominal distention, shoulder pain, and hypotension. Abdominal distention can result from internal bleeding and an accumulation of fluid in the abdominal cavity due to liver injury. Shoulder pain, particularly referred pain, often arises due to irritation of the diaphragm, which can occur following a traumatic injury to the liver; this type of pain is commonly felt in the shoulder, especially the left side. Hypotension is a critical sign that may occur if there is significant blood loss due to the rupture, indicating a drop in blood volume and potential hemorrhagic shock.

These symptoms collectively point to a serious complication that requires immediate medical attention, as liver rupture can pose life-threatening risks. Recognizing these signs in the context of hypertensive disorders in pregnancy is crucial for timely intervention, which may involve surgical evaluation and management.