Spontaneous hepatic rupture in pregnancy.
The HELLP-syndrome (haemolysis, elevated liver enzymes, low platelets) is associated with pre-eclampsia and may cause subcapsular liver haematomas. When hepatic rupture occurs the mortality of mother and unborn is high. Rupture remains a surgical emergency with control of bleeding based on trauma principles. We report a case and discuss the diagnosis and management.
Yagmurdur
M C
MC
Department of General Surgery, Hacettepe University School of Medicine, Turkey.
Agalar
F
F
Daphan
C E
CE
D000328:Adult; D004630:Emergencies; D005260:Female; D005313:Fetal Death / Q000209:etiology; D017359:HELLP Syndrome / Q000150:complications*; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007022:Hypotension / Q000209:etiology; D008107:Liver Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed; D016216:Ultrasonography, Prenatal