Subcapsular liver hematoma causing cardiac tamponade in HELLP syndrome.
HELLP (hemolysis, elevated liver enzymes and low platelets) syndrome is an obstetric complication with heterogeneous presentation, multisystem involvement and variable prognosis, but which usually resolves after delivery. We report a case of HELLP syndrome with subcapsular hematoma of the liver causing extrapericardial cardiac tamponade. The subcapsular hematoma and cardiac tamponade were managed conservatively.
Department of Anaesthesia and Surgical Intensive Care, Queen Elizabeth Hospital, Bridgetown, Barbados. lokakinthala@yahoo.com
S
S
Kinthala
M
M
Fakoory
T
T
Greaves
L
L
Kandamaran
H
H
Thomas
S
S
Moe
D000328:Adult; D002305:Cardiac Tamponade / Q000209:etiology*; D004452:Echocardiography; D005260:Female; D017359:HELLP Syndrome; D006406:Hematoma / Q000150:complications*; D006801:Humans; D008107:Liver Diseases / Q000150:complications*; D011247:Pregnancy; D014057:Tomography, X-Ray Computed