title: Orthotopic liver transplantation for complicated HELLP syndrome. Case report and review of the literature.
abstract: A case of hepatic complication in a pregnant woman suffering from HELLP syndrome resulting in the need for transplantation is reported, and an algorithm for those instances is suggested. According to the literature, this is the 5th report of hepatic complications in HELLP syndrome necessitating liver transplantation. Since all but one of the transplanted patients survived (as opposed to a high mortality in non-transplanted patients), it is concluded, that a timely decision for transplantation is a safe option in this high risk group.
authors.affiliation: Dept of General Surgery, University Hospital Eppendorf, Hamburg.
authors.forename: T
authors.initials: T
authors.lastname: Strate
authors.forename: D C
authors.initials: DC
authors.lastname: Broering
authors.forename: C
authors.initials: C
authors.lastname: Bloechle
authors.forename: S
authors.initials: S
authors.lastname: Henschen
authors.forename: W
authors.initials: W
authors.lastname: Pothmann
authors.forename: S
authors.initials: S
authors.lastname: Hoffmann
authors.forename: J R
authors.initials: JR
authors.lastname: Izbicki
authors.forename: X
authors.initials: X
authors.lastname: Rogiers
mesh_terms: D000328:Adult; D005260:Female; D017359:HELLP Syndrome / Q000601:surgery*; D006406:Hematoma / Q000209:etiology; D006498:Hepatectomy; D006801:Humans; D008099:Liver / Q000473:pathology; D008107:Liver Diseases / Q000209:etiology / Q000601:surgery; D016031:Liver Transplantation; D008297:Male; D009336:Necrosis; D011247:Pregnancy; D011272:Pregnancy, Multiple; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed; D014427:Twins