Liver rupture postpartum associated with preeclampsia and HELLP syndrome.

Autor: Risseeuw JJ; Department of Perinatology, Sophia Ziekenhuis Zwolle, The Netherlands., de Vries JE, van Eyck J, Arabin B
Jazyk: angličtina
Zdroj: The Journal of maternal-fetal medicine [J Matern Fetal Med] 1999 Jan-Feb; Vol. 8 (1), pp. 32-5.
DOI: 10.1002/(SICI)1520-6661(199901/02)8:1<32::AID-MFM8>3.0.CO;2-S
Abstrakt: Liver rupture is a rare perinatal complication with high maternal mortality. In a multiparous woman with preeclampsia and Hemolysis, Elevated Liver enzymes, and Low Platelet count (HELLP) syndrome, liver rupture was suspected 10 h after a cesarean section. Laparotomy revealed liver rupture which was treated by perihepatic packing. Eventually, the mother was discharged with her baby 88 days after admission. Clinical symptoms, maternal hemodynamics by Swan-Ganz monitoring, and laboratory findings were not predictive until the emergency situation and the consecutive complications required multidisciplinary management.
Databáze: MEDLINE