Diagnosis and surgical management of spontaneous hepatic rupture associated with HELLP syndrome.
Spontaneous hepatic rupture with hemoperitoneum is an uncommon but devastating complication of hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome. Although the syndrome has been considered a variant of preeclampsia/eclampsia, its pathogenesis is not completely understood. Hepatic rupture increases the perinatal and maternal morbidity and mortality. This report describes 3 cases of extensive spontaneous hepatic rupture in pregnant women with HELLP syndrome. Early diagnosis and adequate tertiary management of this rare but life-threatening condition reduce the high maternal and newborn mortality.
Pavlis
Theodoros
T
Intensive Care Unit, Mitera Hospital of Athens, Greece.
Aloizos
Stavros
S
Aravosita
Paraskevi
P
Mystakelli
Christina
C
Petrochilou
Dimitra
D
Dimopoulos
Nikitas
N
Gourgiotis
Stavros
S
D000328:Adult; D005260:Female; D017359:HELLP Syndrome; D006465:Hemoperitoneum / Q000209:etiology; D006801:Humans; D008107:Liver Diseases / Q000175:diagnosis* / Q000601:surgery*; D011247:Pregnancy; D012422:Rupture, Spontaneous