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Surviving hepatic rupture in pregnancy--a literature review with an illustrative case report.
J Obstet Gynaecol. 2003 Mar; 23(2):109-13.JO

Abstract

Spontaneous hepatic rupture in pregnancy is a rare condition associated with significant maternal and perinatal mortality. Patients developing pre-eclampsia and especially HELLP syndrome require close monitoring for prompt diagnosis of hepatic rupture. However, the presenting symptoms and signs, e.g. epigastric pain, shoulder pain, nausea and vomiting, are common. Thus a high index of suspicion and early evaluation with imaging is vitally important. The important lesson to be learnt is that a Pfannenstiel incision does not allow for adequate assessment of the liver. If hepatic rupture is suspected a second upper abdominal incision should be performed. Improved survival can be achieved through early recognition and a multidisciplinary approach.

Authors+Show Affiliations

Huddersfield Royal Infirmary, Huddersfield, UK. fionamarsh@totalserve.co.ukNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

12745549

Citation

Marsh, Fiona A., et al. "Surviving Hepatic Rupture in Pregnancy--a Literature Review With an Illustrative Case Report." Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology, vol. 23, no. 2, 2003, pp. 109-13.
Marsh FA, Kaufmann SJ, Bhabra K. Surviving hepatic rupture in pregnancy--a literature review with an illustrative case report. J Obstet Gynaecol. 2003;23(2):109-13.
Marsh, F. A., Kaufmann, S. J., & Bhabra, K. (2003). Surviving hepatic rupture in pregnancy--a literature review with an illustrative case report. Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology, 23(2), 109-13.
Marsh FA, Kaufmann SJ, Bhabra K. Surviving Hepatic Rupture in Pregnancy--a Literature Review With an Illustrative Case Report. J Obstet Gynaecol. 2003;23(2):109-13. PubMed PMID: 12745549.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surviving hepatic rupture in pregnancy--a literature review with an illustrative case report. AU - Marsh,Fiona A, AU - Kaufmann,S J, AU - Bhabra,K, PY - 2003/5/15/pubmed PY - 2003/8/14/medline PY - 2003/5/15/entrez SP - 109 EP - 13 JF - Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology JO - J Obstet Gynaecol VL - 23 IS - 2 N2 - Spontaneous hepatic rupture in pregnancy is a rare condition associated with significant maternal and perinatal mortality. Patients developing pre-eclampsia and especially HELLP syndrome require close monitoring for prompt diagnosis of hepatic rupture. However, the presenting symptoms and signs, e.g. epigastric pain, shoulder pain, nausea and vomiting, are common. Thus a high index of suspicion and early evaluation with imaging is vitally important. The important lesson to be learnt is that a Pfannenstiel incision does not allow for adequate assessment of the liver. If hepatic rupture is suspected a second upper abdominal incision should be performed. Improved survival can be achieved through early recognition and a multidisciplinary approach. SN - 0144-3615 UR - https://www.unboundmedicine.com/medline/citation/12745549/Surviving_hepatic_rupture_in_pregnancy__a_literature_review_with_an_illustrative_case_report_ L2 - https://www.tandfonline.com/doi/full/10.1080/0144361031000074583 DB - PRIME DP - Unbound Medicine ER -