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[Hepatic and splenic rupture associated with severe preeclampsia: a case report].
Invest Clin. 2004 Mar; 45(1):63-8.IC

Abstract

The splenic rupture is a rare complication of pregnancy and of the postpartum period. On the contrary, hepatic hemorrhage is a relatively common complication of pregnancy and it is usually associated with preeclampsia. In this work we report the case of a 37 year-old patient with a noncontrolled 35 week-pregnancy of simple, with severe preeclampsia. She presented abdominal pain, headache, hypertension and accented cutaneous-mucous paleness at the moment of admission to the hospital. During physical evaluation at admittance, the patient suddenly suffered a severe circulatory collapse and it was decided a surgical intervention. A segmental caesarean section was practiced, and during the abdominal exploration it was observed hemoperitoneous, a splenic rupture degree III and a hematoma in the anterolateral liver's wall. Total splenectomy and evacuation of the hepatic hematoma was performed. The splenic rupture and the hepatic subcapsular hematoma should be considered as a part of the differential diagnoses when a hemodynamic collapse occurs during labor in patients with severe preeclampsia. This work constitutes the first report in the Venezuelan literature of the association of splenic rupture, hepatic subcapsular hematoma and severe preeclampsia. An appropriate prenatal control, the knowledge of this association and an immediate therapeutic intervention are essential to assure the maternal-fetal survival.

Authors+Show Affiliations

González-Martinez G
Servicio de Obstetricia y Ginecología, Centro Médico del Mar, Maracaibo, Venezuela.
Aguirre-Suarez J
No affiliation info available
Alarcón-Sandoval A
No affiliation info available
Pulgar-Lehr A
No affiliation info available
Valbuena-Adrianza O
No affiliation info available

MeSH

AdultFemaleHumansLiver DiseasesPre-EclampsiaPregnancyRupture, SpontaneousSeverity of Illness IndexSplenic Rupture

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

spa

PubMed ID

15058759

Citation

González-Martinez, Gerardo, et al. "[Hepatic and Splenic Rupture Associated With Severe Preeclampsia: a Case Report]." Investigacion Clinica, vol. 45, no. 1, 2004, pp. 63-8.
González-Martinez G, Aguirre-Suarez J, Alarcón-Sandoval A, et al. [Hepatic and splenic rupture associated with severe preeclampsia: a case report]. Invest Clin. 2004;45(1):63-8.
González-Martinez, G., Aguirre-Suarez, J., Alarcón-Sandoval, A., Pulgar-Lehr, A., & Valbuena-Adrianza, O. (2004). [Hepatic and splenic rupture associated with severe preeclampsia: a case report]. Investigacion Clinica, 45(1), 63-8.
González-Martinez G, et al. [Hepatic and Splenic Rupture Associated With Severe Preeclampsia: a Case Report]. Invest Clin. 2004;45(1):63-8. PubMed PMID: 15058759.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Hepatic and splenic rupture associated with severe preeclampsia: a case report]. AU - González-Martinez,Gerardo, AU - Aguirre-Suarez,Jorge, AU - Alarcón-Sandoval,Andrés, AU - Pulgar-Lehr,Angel, AU - Valbuena-Adrianza,Otto, PY - 2004/4/3/pubmed PY - 2004/12/16/medline PY - 2004/4/3/entrez SP - 63 EP - 8 JF - Investigacion clinica JO - Invest Clin VL - 45 IS - 1 N2 - The splenic rupture is a rare complication of pregnancy and of the postpartum period. On the contrary, hepatic hemorrhage is a relatively common complication of pregnancy and it is usually associated with preeclampsia. In this work we report the case of a 37 year-old patient with a noncontrolled 35 week-pregnancy of simple, with severe preeclampsia. She presented abdominal pain, headache, hypertension and accented cutaneous-mucous paleness at the moment of admission to the hospital. During physical evaluation at admittance, the patient suddenly suffered a severe circulatory collapse and it was decided a surgical intervention. A segmental caesarean section was practiced, and during the abdominal exploration it was observed hemoperitoneous, a splenic rupture degree III and a hematoma in the anterolateral liver's wall. Total splenectomy and evacuation of the hepatic hematoma was performed. The splenic rupture and the hepatic subcapsular hematoma should be considered as a part of the differential diagnoses when a hemodynamic collapse occurs during labor in patients with severe preeclampsia. This work constitutes the first report in the Venezuelan literature of the association of splenic rupture, hepatic subcapsular hematoma and severe preeclampsia. An appropriate prenatal control, the knowledge of this association and an immediate therapeutic intervention are essential to assure the maternal-fetal survival. SN - 0535-5133 UR - https://www.unboundmedicine.com/medline/citation/15058759/[Hepatic_and_splenic_rupture_associated_with_severe_preeclampsia:_a_case_report]_ DB - PRIME DP - Unbound Medicine ER -