[Subcapsular hematoma of the liver in HELLP syndrome. An interdisciplinary emergency].
The HELLP-syndrome (Hemolysis, Elevated Liver enzymes, Low Platelets), known as a complication during pregnancy, is associated with preeclampsia and may cause subcapsular liver hematomas. In case of hepatic rupture the lives of mother and unborn are threatened. Therefore, an interdisciplinary diagnostic and therapeutic approach is discussed and compared to two examples. The diagnosis of subcapsular liver hematoma must lead to urgent delivery through Cesarean section. Thereafter, the surgeon may decide between observation on an intensive care unit and urgent operation in case of hepatic rupture, without endangering the unborn.
Cappeller
W A
WA
Chirurgische Klinik und Poliklinik, Ludwig-Maximilians-Universität, München, BRD.
Knitza
R
R
Briegel
J
J
Forst
H
H
Stiegler
H
H
Sunder-Plassmann
L
L
Pratschke
E
E
D000328:Adult; D002585:Cesarean Section; D004630:Emergencies; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D008107:Liver Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D008111:Liver Function Tests; D010348:Patient Care Team; D010976:Platelet Count; D011225:Pre-Eclampsia / Q000000981:diagnostic imaging / Q000601:surgery*; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D014057:Tomography, X-Ray Computed
Subkapsuläres Leberhämatom bei HELLP-Syndrom. Ein interdisziplinärer Notfall.