[Manifestations of ruptured liver hematoma as a severe complication of HELLP syndrome].
A case of a ruptured haematoma of the liver with intra-abdominal bleeding is reported. The 26-year old primigravida was admitted in the 31st week of gestation because of a HELLP syndrome. She presented additional symptoms, that are considered typical for a HELLP syndrome, complicated by a ruptured haematoma of the liver: severe right upper-quadrant pain, decrease of haemoglobin content, enlarged liver with structural irregularities and free fluid in the abdominal cavity as examined by sonography. During Caesarean section, a subcapsular haematoma of the liver, combined with a 5 cm laceration of the organ surface, was found. The defect was closed with collagen gauze and clotted with fibrin. Additionally the liver was compressed by abdominal compression towels, which were removed 2 days later. The postoperative development was, in the main, complication free.
Hackenberg
R
R
Klinik für Frauenheilkunde und Geburtshilfe, Philipps-Universität Marburg.
Kussmann
J
J
Schulz
K D
KD
D000328:Adult; D002585:Cesarean Section; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use; D006452:Hemoglobinometry; D006801:Humans; D008099:Liver / Q000293:injuries* / Q000601:surgery; D008107:Liver Diseases / Q000175:diagnosis* / Q000601:surgery; D008111:Liver Function Tests; D011225:Pre-Eclampsia / Q000175:diagnosis* / Q000601:surgery; D011247:Pregnancy; D012422:Rupture, Spontaneous / Q000175:diagnosis / Q000601:surgery; D013577:Syndrome; D014949:Wounds, Nonpenetrating / Q000150:complications*
D015718:Fibrin Tissue Adhesive
Symptomatik eines rupturierten Leberhämatoms als schwere Komplikation des HELLP-Syndroms.