[Spontaneous liver rupture in eclampsia].
We report on a case of a 34-year old nullipara who suffered from rupture of the liver during eclampsia and survived despite most serious complications. Most cases of rupture of a non-traumatic subcapsular haematoma of the liver during pregnancy are associated with symptoms of pre-eclampsia. The pathogenesis of this severe complication as well as diagnostic imaging and surgical treatment are discussed. The classical trias of pre-eclampsia, epigastric pain and sudden circulary collapse may vary considerably. Since early diagnosis is crucial for maternal and foetal outcome, a subcapsular haematoma of the liver should be considered in women during pregnancy and childbed presenting with pre-eclampsia and upper abdominal pain. Here ultrasonographic imaging is a valuable and readily available diagnostic tool for the obstetrician.
Seeler
M
M
Behrend
R
R
Mörl
F K
FK
Körner
J
J
D000328:Adult; D002585:Cesarean Section; D004461:Eclampsia / Q000473:pathology* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006406:Hematoma / Q000473:pathology; D006801:Humans; D007231:Infant, Newborn; D008099:Liver / Q000473:pathology; D008107:Liver Diseases / Q000473:pathology* / Q000601:surgery; D008297:Male; D011247:Pregnancy; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
Die spontane Leberruptur bei Eklampsie.