title: Spontaneous liver rupture: A report of two cases.
abstract: Spontaneous bleeding due to a non traumatic liver rupture is a rare occurrence. However, it is associated with high morbidity and mortality. Usually the predisposing factors are like Hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome in pregnant women and other liver diseases. It is generally diagnosed by imaging studies such as ultra sonogram or computerized tomogram (CT). Due to its rarity no standard treatment has been described. Here, we report two cases of spontaneous rupture of normal liver in two young males. They presented with severe shock and hemoperitoneum. The diagnosis was confirmed by CT. They were managed surgically. In case of hemoperitoneum, spontaneous liver rupture should be considered. An early aggressive resuscitation and appropriate intervention gives better outcome.
authors.affiliation: Department of General Surgery, Christian Medical College, Vellore, Tamil Nadu, India.
authors.forename: Myla
authors.initials: M
authors.lastname: Yacob
authors.forename: Mark R
authors.initials: MR
authors.lastname: Jesudason
authors.forename: Sukria
authors.initials: S
authors.lastname: Nayak
keywords: Focused abdominal sonogram for trauma; HELLP syndrome; hemoperitoneum; liver rupture; peri hepatic packing