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Hepatic rupture is one of the most serious and catastrophic complications of pregnancy, with an estimated incidence of 1:45000 to 1:225000 deliveries. It is usually associated with preeclampsia. Maternal mortality is about 60-86% and fetal mortality can reach 56-75%. Diagnosis is difficult, but commonly relies on the presence of severe bleeding and hypovolemic shock. We present the case of a patient with a 32-week gestation complicated by spontaneous preeclampsia-associated hepatic hemorrhage, which was submitted to surgical treatment with good outcome.