Hepatic rupture after cesarean section in a patient with HELLP syndrome: a case report and review of the literature

Dessole, Salvatore and Capobianco, Giampiero and Virdis, Paolo and Rubattu, Giovanni and Cosmi, Erich and Porcu, Alberto (2007) Hepatic rupture after cesarean section in a patient with HELLP syndrome: a case report and review of the literature. Archives of Gynecology and Obstetrics, Vol. 276 (2), p. 189-192. eISSN 1432-0711. Article.

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DOI: 10.1007/s00404-006-0318-9

Abstract

Background Spontaneous hepatic rupture in pregnancy is rare and carries a high maternal and perinatal mortality. Case report 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. Conclusion 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.

Item Type:	Article
ID Code:	2328
Status:	Published
Refereed:	Yes
Uncontrolled Keywords:	Hepatic rupture, Pregnancy, HELLP syndrome
Subjects:	Area 06 - Scienze mediche > MED/40 Ginecologia e ostetricia Area 06 - Scienze mediche > MED/18 Chirurgia generale
Divisions:	001 Università di Sassari > 03 Istituti > Clinica chirurgica generale e terapia chirurgica 001 Università di Sassari > 01 Dipartimenti > Neuroscienze, scienze materno infantili
Publisher:	Springer Berlin / Heidelberg
eISSN:	1432-0711
Deposited On:	18 Aug 2009 10:07

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