Successful delivery after hepatic rupture in previous pre-eclamptic pregnancy.
Rupture of the liver in the course of pre-eclamptic pregnancy is a rare but life-threatening event. Controversiality exists with regard to the treatment modality. A case is presented of a pre-eclamptic multiparous woman with liver rupture and intra-abdominal bleeding immediately after delivery of a stillborn infant, who was successfully treated by correction of intravascular volume with blood transfusions without surgical intervention. The index pregnancy was succeeded by an uneventful pregnancy and delivery. This is the first case report of a conservatively managed liver rupture with an uneventful course of the next pregnancy. Conservative treatment should consist of correction of hypovolemia and clotting disorders, while surgical approach should be reserved for patients who cannot be stabilized hemodynamically.
Alleman
J S
JS
Department of Obstetrics and Gynecology, Maasland Hospital, Geleen, Netherlands.
Delarue
M W
MW
Hasaart
T H
TH
D000328:Adult; D005260:Female; D006801:Humans; D008107:Liver Diseases / Q000209:etiology*; D011225:Pre-Eclampsia / Q000150:complications*; D011247:Pregnancy; D012422:Rupture, Spontaneous