Liver rupture postpartum associated with preeclampsia and HELLP syndrome.
Liver rupture is a rare perinatal complication with high maternal mortality. In a multiparous woman with preeclampsia and Hemolysis, Elevated Liver enzymes, and Low Platelet count (HELLP) syndrome, liver rupture was suspected 10 h after a cesarean section. Laparotomy revealed liver rupture which was treated by perihepatic packing. Eventually, the mother was discharged with her baby 88 days after admission. Clinical symptoms, maternal hemodynamics by Swan-Ganz monitoring, and laboratory findings were not predictive until the emergency situation and the consecutive complications required multidisciplinary management.
Risseeuw
J J
JJ
Department of Perinatology, Sophia Ziekenhuis Zwolle, The Netherlands.
de Vries
J E
JE
van Eyck
J
J
Arabin
B
B
D000328:Adult; D002585:Cesarean Section; D005260:Female; D017359:HELLP Syndrome / Q000150:complications*; D006801:Humans; D008099:Liver / Q000293:injuries*; D007744:Obstetric Labor Complications; D049590:Postpartum Period; D011225:Pre-Eclampsia / Q000150:complications; D011247:Pregnancy; D012422:Rupture, Spontaneous