[HELLP syndrome and ruptured subcapsular hepatic haematoma. Case report and therapeutic options].
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.
Seren
G
G
Service de réanimation polyvalente, hôpital Nord, CHU de Saint-Etienne, 42055 Saint-Etienne cedex 02, France.
Morel
J
J
Jospe
R
R
Mahul
P
P
Dumont
A
A
Cuileron
M
M
Tiffet
O
O
Auboyer
C
C
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