[Spontaneous intrahepatic hemorrhage: a severe complication of the Hellp syndrome. Value of early radiologic diagnosis. Apropos of a case].
One case of spontaneous hepatic hemorrhage during a severe pre-eclampsia and Hellp syndrome (hemolysis, elevated liver function tests, low platelet count) is reported. This serious complication can be detected by ultrasonography and C.T. The normal sonographic appearance of the liver must prompt a new sonographic examination as soon as possible. C.T. of the abdomen confirmes the diagnosis and delineates the lesions more precisely. It is suggested that with the availability of ultrasound and computed tomography to diagnose and stage the hepatic hemorrhage, they have a systematic indication during the Hellp syndrome.
Soyer
P
P
Hôpital Louis-Mourier, Service de Radiologie, Colombes.
This
B
B
De Broucker
F
F
Levesque
M
M
D000328:Adult; D000743:Anemia, Hemolytic / Q000150:complications*; D005260:Female; D006470:Hemorrhage / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008099:Liver / Q000201:enzymology*; D008107:Liver Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D008111:Liver Function Tests; D010976:Platelet Count; D011247:Pregnancy; D011248:Pregnancy Complications / Q000097:blood; D013577:Syndrome; D013921:Thrombocytopenia / Q000150:complications*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
Hémorragie intrahépatique spontanée: une complication grave du Hellp syndrome. Intérêt d'un diagnostic radiologique précoce. A propos d'une observation.