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Argon beam coagulator for treatment of hepatic rupture with hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome.
Obstet Gynecol. 2006 Feb; 107(2 Pt 2):525-6.OG

Abstract

BACKGROUND

We present a case of hepatic rupture secondary to hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome and the novel use of the argon beam coagulator in achieving hemostasis.

CASE

The patient presented at 33 5/7 weeks of gestation with elevated liver transaminases, thrombocytopenia, and ultrasonographic findings consistent with hepatic rupture. She underwent an emergent cesarean delivery followed by exploration of her abdomen by hepatobiliary surgeons. An expanding hematoma with rupture of the right lobe of the liver was identified. The hematoma was unroofed, and hemostasis was obtained using the argon beam coagulator. The patient was discharged home in good condition 9 days after surgery.

CONCLUSION

With a multidisciplinary approach and the argon beam coagulator, we were able to achieve an excellent clinical outcome in a patient with hepatic rupture from HELLP syndrome.

Authors+Show Affiliations

Department of Obstetrics-Gynecology, Division of Maternal-Fetal Medicine, University of California-Irvine Medical Center, Orange, California 92868, USA. vshrivas@uci.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

16449174

Citation

Shrivastava, Vineet K., et al. "Argon Beam Coagulator for Treatment of Hepatic Rupture With Hemolysis, Elevated Liver Enzymes, Low Platelets (HELLP) Syndrome." Obstetrics and Gynecology, vol. 107, no. 2 Pt 2, 2006, pp. 525-6.
Shrivastava VK, Imagawa D, Wing DA. Argon beam coagulator for treatment of hepatic rupture with hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome. Obstet Gynecol. 2006;107(2 Pt 2):525-6.
Shrivastava, V. K., Imagawa, D., & Wing, D. A. (2006). Argon beam coagulator for treatment of hepatic rupture with hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome. Obstetrics and Gynecology, 107(2 Pt 2), 525-6.
Shrivastava VK, Imagawa D, Wing DA. Argon Beam Coagulator for Treatment of Hepatic Rupture With Hemolysis, Elevated Liver Enzymes, Low Platelets (HELLP) Syndrome. Obstet Gynecol. 2006;107(2 Pt 2):525-6. PubMed PMID: 16449174.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Argon beam coagulator for treatment of hepatic rupture with hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome. AU - Shrivastava,Vineet K, AU - Imagawa,David, AU - Wing,Deborah A, PY - 2006/2/2/pubmed PY - 2006/4/6/medline PY - 2006/2/2/entrez SP - 525 EP - 6 JF - Obstetrics and gynecology JO - Obstet Gynecol VL - 107 IS - 2 Pt 2 N2 - BACKGROUND: We present a case of hepatic rupture secondary to hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome and the novel use of the argon beam coagulator in achieving hemostasis. CASE: The patient presented at 33 5/7 weeks of gestation with elevated liver transaminases, thrombocytopenia, and ultrasonographic findings consistent with hepatic rupture. She underwent an emergent cesarean delivery followed by exploration of her abdomen by hepatobiliary surgeons. An expanding hematoma with rupture of the right lobe of the liver was identified. The hematoma was unroofed, and hemostasis was obtained using the argon beam coagulator. The patient was discharged home in good condition 9 days after surgery. CONCLUSION: With a multidisciplinary approach and the argon beam coagulator, we were able to achieve an excellent clinical outcome in a patient with hepatic rupture from HELLP syndrome. SN - 0029-7844 UR - https://www.unboundmedicine.com/medline/citation/16449174/Argon_beam_coagulator_for_treatment_of_hepatic_rupture_with_hemolysis_elevated_liver_enzymes_low_platelets__HELLP__syndrome_ DB - PRIME DP - Unbound Medicine ER -