Postpartum hepatic hemorrhage in the syndrome of hemolysis, elevated liver enzymes, and low platelets: diagnosis by radiocolloid scanning.
Three cases of postpartum hepatic hemorrhage in the syndrome of hemolysis, elevated liver enzymes, and low platelet count (HELP) were diagnosed by Tc-99m sulfur colloid liver-spleen scanning. Two patients had follow-up scans. One showed rapid resolution of the hematoma on the repeat scan performed six days later, while the other showed delayed resolution on the repeat scan four weeks later. All patients received non-surgical supportive therapy with or without blood transfusion after delivery, and recovered well. Usefulness of radionuclide liver-spleen scanning in the diagnosis of peripartum hepatic hemorrhage and monitoring course of the disease is emphasized.
Lee
H K
HK
Nuclear Medicine Service, Mount Sinai Services-City Hospital Center, Elmhurst, NY 11373.
Skarzynski
J
J
De Regt
R H
RH
McLymont
F
F
D000328:Adult; D005260:Female; D006461:Hemolysis; D006470:Hemorrhage / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D008099:Liver / Q000201:enzymology; D008107:Liver Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D011225:Pre-Eclampsia / Q000150:complications*; D011247:Pregnancy; D011644:Puerperal Disorders / Q000000981:diagnostic imaging* / Q000209:etiology; D011877:Radionuclide Imaging; D013577:Syndrome; D013671:Technetium Tc 99m Sulfur Colloid; D013921:Thrombocytopenia / Q000150:complications
D013671:Technetium Tc 99m Sulfur Colloid