title: [HELLP syndrome and ruptured subcapsular hepatic haematoma. Case report and therapeutic options].
abstract: We report a case of spontaneous hepatic rupture secondary to HELLP syndrome. A favourable evolution was observed after massive transfusion and surgical management limited to hepatic packing. Subcapsular hepatic haematoma is a rare complication of preeclampsia occurring mainly in the context of HELLP syndrome. A high maternal and foetal mortality is observed. Different therapeutic options are presented including medical, surgical and radiological interventions. A unique strategy cannot be defined. Multidisciplinary approach seems mandatory. Surgery should remain as less aggressive as possible.
authors.affiliation: Service de réanimation polyvalente, hôpital Nord, CHU de Saint-Etienne, 42055 Saint-Etienne cedex 02, France.
authors.forename: G
authors.initials: G
authors.lastname: Seren
authors.forename: J
authors.initials: J
authors.lastname: Morel
authors.forename: R
authors.initials: R
authors.lastname: Jospe
authors.forename: P
authors.initials: P
authors.lastname: Mahul
authors.forename: A
authors.initials: A
authors.lastname: Dumont
authors.forename: M
authors.initials: M
authors.lastname: Cuileron
authors.forename: O
authors.initials: O
authors.lastname: Tiffet
authors.forename: C
authors.initials: C
authors.lastname: Auboyer
mesh_terms: D000328:Adult; D005260:Female; D017359:HELLP Syndrome; D006406:Hematoma / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D008107:Liver Diseases / Q000209:etiology* / Q000628:therapy*; D011247:Pregnancy; D012422:Rupture, Spontaneous