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[Spontaneous hepatic rupture of pregnancy. A report of four cases and medical literature review].
Ginecol Obstet Mex. 2006 Apr; 74(4):224-31.GO

Abstract

The spontaneous liver rupture associated with preeclampsia is a potential life threatening condition that requires a multidisciplinary team approach. There are near 200 cases reported in the world literature. This paper presents four cases of liver rupture associated with preeclampsia, three of which were consecutive with only two days apart, describing the clinical features and the therapeutic approaches. We also discussed about the mortality, which occurred in one of our cases, and perinatal mortality that affected one newborn and another one had neonatal encephalopathy secuelae. Three of the cases were managed in a surgical manner, one of them also with selective hepatic artery embolization meanwhile another one received conservative management. It is important to suspect this pathology in the preeclamptic patient, especially if she develops HELLP syndrome, in order to establish opportune diagnosis and treatment with a team including the intensive care, surgery and obstetrical staff.

Authors+Show Affiliations

Clinica de Especualidades de la Mujer, Hospital Central Militar, México.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article
Review

Language

spa

PubMed ID

16886770

Citation

Pliego Pérez, Alejandro Roberto, et al. "[Spontaneous Hepatic Rupture of Pregnancy. a Report of Four Cases and Medical Literature Review]." Ginecologia Y Obstetricia De Mexico, vol. 74, no. 4, 2006, pp. 224-31.
Pliego Pérez AR, Zavala Soto JO, Rodríguez Ballesteros R, et al. [Spontaneous hepatic rupture of pregnancy. A report of four cases and medical literature review]. Ginecol Obstet Mex. 2006;74(4):224-31.
Pliego Pérez, A. R., Zavala Soto, J. O., Rodríguez Ballesteros, R., Martínez Herrera, F. d. e. . J., & Porras Jiménez, A. (2006). [Spontaneous hepatic rupture of pregnancy. A report of four cases and medical literature review]. Ginecologia Y Obstetricia De Mexico, 74(4), 224-31.
Pliego Pérez AR, et al. [Spontaneous Hepatic Rupture of Pregnancy. a Report of Four Cases and Medical Literature Review]. Ginecol Obstet Mex. 2006;74(4):224-31. PubMed PMID: 16886770.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Spontaneous hepatic rupture of pregnancy. A report of four cases and medical literature review]. AU - Pliego Pérez,Alejandro Roberto, AU - Zavala Soto,José Octavio, AU - Rodríguez Ballesteros,Raúl, AU - Martínez Herrera,Francisco de Jesús, AU - Porras Jiménez,Alberto, PY - 2006/8/5/pubmed PY - 2006/12/9/medline PY - 2006/8/5/entrez SP - 224 EP - 31 JF - Ginecologia y obstetricia de Mexico JO - Ginecol Obstet Mex VL - 74 IS - 4 N2 - The spontaneous liver rupture associated with preeclampsia is a potential life threatening condition that requires a multidisciplinary team approach. There are near 200 cases reported in the world literature. This paper presents four cases of liver rupture associated with preeclampsia, three of which were consecutive with only two days apart, describing the clinical features and the therapeutic approaches. We also discussed about the mortality, which occurred in one of our cases, and perinatal mortality that affected one newborn and another one had neonatal encephalopathy secuelae. Three of the cases were managed in a surgical manner, one of them also with selective hepatic artery embolization meanwhile another one received conservative management. It is important to suspect this pathology in the preeclamptic patient, especially if she develops HELLP syndrome, in order to establish opportune diagnosis and treatment with a team including the intensive care, surgery and obstetrical staff. SN - 0300-9041 UR - https://www.unboundmedicine.com/medline/citation/16886770/[Spontaneous_hepatic_rupture_of_pregnancy__A_report_of_four_cases_and_medical_literature_review]_ L2 - http://www.diseaseinfosearch.org/result/5922 DB - PRIME DP - Unbound Medicine ER -