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+A 29-year-old primipara presented with complaints of persistent, severe right -sided upper abdominal pain during deep inspiration, physical exercise and on local pressure.
+These complaints had developed gradually after giving birth one year earlier.
+This pregnancy had been complicated by HELLP syndrome with a subcapsular liver hematoma sized 20 cm × 5 cm, which had resolved spontaneously.
+At current presentation, liver function tests were normal.
+She assured having never experienced signs suggestive of sexually transmitted diseases or pelvic inflammatory disease (PID).
+She had never undergone intra-abdominal interventions.
+An upper-abdominal magnetic resonance imaging revealed a density between liver and diaphragm at the site of the former subcapsular hematoma, suspect of perihepatic adhesions (Figure ​1).
+She was referred to the hepatobiliary surgeon, who performed a laparoscopy and confirmed the presence of a thick adhesion between liver segment V/VIII and the diaphragm (Figure ​2).
+Adhesiolysis was performed in the same session by monopolar diathermia and sharp dissection, followed by the instillation of 1.5 L Adept (4% icodextrin solution) into the peritoneal cavity to prevent the formation of new adhesions.
+On follow-up until three years post-surgery, she was free of symptoms.