Hepatic rupture after cesarean section in a patient with HELLP syndrome: a case report and review of the literature.
BACKGROUND
Spontaneous hepatic rupture in pregnancy is rare and carries a high maternal and perinatal mortality.


METHODS
We describe a case of hepatic rupture that occurred after emergency caesarean section performed in a pregnant woman at 38 weeks of gestation with Hemolysis, Elevated Liver enzymes and Low Platelet count (HELLP) syndrome. The patient was discharged after 30 days of intensive therapy and four explorative laparotomies. Today, 2 years after delivery, the patient and her baby are doing well.


CONCLUSIONS
Hepatic rupture in pregnancy is a rare event that may complicate HELLP syndrome. In this case, we were able to achieve an excellent clinical outcome by the performance of an immediately explorative laparotomy.
Dessole
Salvatore
S
Department of Pharmacology, Gynecology and Obstetrics, University of Sassari, Viale San Pietro 12, Sassari 07100, Italy.
Capobianco
Giampiero
G
Virdis
Paolo
P
Rubattu
Giovanni
G
Cosmi
Erich
E
Porcu
Alberto
A
D000328:Adult; D002585:Cesarean Section; D005260:Female; D017359:HELLP Syndrome / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D007813:Laparotomy / Q000379:methods; D008107:Liver Diseases / Q000150:complications* / Q000473:pathology / Q000601:surgery; D011247:Pregnancy; D012422:Rupture, Spontaneous / Q000150:complications / Q000473:pathology / Q000601:surgery