title: [Rupture of a subcapsular liver hematoma in the postpartum period associated with HELLP syndrome].
abstract: We describe the case of a 31-year-old woman who underwent a section caesarean and 24 hours later a laparotomy for treatment of a ruptured subcapsular liver hematoma due to a HELLP syndrome. The HELLP syndrome (hemolysis, elevated liver enzymes, low platelets count) is a serious complication of the pregnancy with or without eclampsia. This complication has a high mortality and morbidity and can occur during the pregnancy or after delivery. The diagnosis of a subcapsular hematoma of the liver should be considered in patients with acute abdominal pain in the last trimenon or just after delivery. Laparotomy must be performed at the first signs of hemodynamic instability.
authors.affiliation: Klinik für viszerale und Transplantationschirurgie, Inselspital Bern.
authors.forename: T
authors.initials: T
authors.lastname: Carrel
authors.forename: A
authors.initials: A
authors.lastname: Huber
authors.forename: H R
authors.initials: HR
authors.lastname: Schärl
authors.forename: H
authors.initials: H
authors.lastname: Gysler
authors.forename: P
authors.initials: P
authors.lastname: Gertsch
mesh_terms: D000328:Adult; D000743:Anemia, Hemolytic / Q000150:complications*; D002585:Cesarean Section; D005260:Female; D006406:Hematoma / Q000601:surgery*; D006801:Humans; D008107:Liver Diseases / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery*; D011225:Pre-Eclampsia / Q000150:complications*; D011247:Pregnancy; D011644:Puerperal Disorders / Q000601:surgery*; D012422:Rupture, Spontaneous; D013577:Syndrome; D013921:Thrombocytopenia / Q000150:complications*
vernacular_title: Rupture d'un hématome sous-capsulaire hépatique dans le post-partum associée à un syndrome de HELLP.