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[HELLP syndrome and ruptured subcapsular hepatic haematoma. Case report and therapeutic options].
Ann Fr Anesth Reanim. 2006 Oct; 25(10):1067-9.AF

Abstract

We report a case of spontaneous hepatic rupture secondary to HELLP syndrome. A favourable evolution was observed after massive transfusion and surgical management limited to hepatic packing. Subcapsular hepatic haematoma is a rare complication of preeclampsia occurring mainly in the context of HELLP syndrome. A high maternal and foetal mortality is observed. Different therapeutic options are presented including medical, surgical and radiological interventions. A unique strategy cannot be defined. Multidisciplinary approach seems mandatory. Surgery should remain as less aggressive as possible.

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Authors+Show Affiliations

Seren G
Service de réanimation polyvalente, hôpital Nord, CHU de Saint-Etienne, 42055 Saint-Etienne cedex 02, France.
Morel J
No affiliation info available
Jospe R
No affiliation info available
Mahul P
No affiliation info available
Dumont A
No affiliation info available
Cuileron M
No affiliation info available
Tiffet O
No affiliation info available
Auboyer C
No affiliation info available

MeSH

AdultFemaleHELLP SyndromeHematomaHumansLiver DiseasesPregnancyRupture, Spontaneous

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

fre

PubMed ID

17005357

Citation

Seren, G, et al. "[HELLP Syndrome and Ruptured Subcapsular Hepatic Haematoma. Case Report and Therapeutic Options]." Annales Francaises D'anesthesie Et De Reanimation, vol. 25, no. 10, 2006, pp. 1067-9.
Seren G, Morel J, Jospe R, et al. [HELLP syndrome and ruptured subcapsular hepatic haematoma. Case report and therapeutic options]. Ann Fr Anesth Reanim. 2006;25(10):1067-9.
Seren, G., Morel, J., Jospe, R., Mahul, P., Dumont, A., Cuileron, M., Tiffet, O., & Auboyer, C. (2006). [HELLP syndrome and ruptured subcapsular hepatic haematoma. Case report and therapeutic options]. Annales Francaises D'anesthesie Et De Reanimation, 25(10), 1067-9.
Seren G, et al. [HELLP Syndrome and Ruptured Subcapsular Hepatic Haematoma. Case Report and Therapeutic Options]. Ann Fr Anesth Reanim. 2006;25(10):1067-9. PubMed PMID: 17005357.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [HELLP syndrome and ruptured subcapsular hepatic haematoma. Case report and therapeutic options]. AU - Seren,G, AU - Morel,J, AU - Jospe,R, AU - Mahul,P, AU - Dumont,A, AU - Cuileron,M, AU - Tiffet,O, AU - Auboyer,C, Y1 - 2006/09/26/ PY - 2005/08/31/received PY - 2006/07/25/accepted PY - 2006/9/29/pubmed PY - 2007/3/30/medline PY - 2006/9/29/entrez SP - 1067 EP - 9 JF - Annales francaises d'anesthesie et de reanimation JO - Ann Fr Anesth Reanim VL - 25 IS - 10 N2 - We report a case of spontaneous hepatic rupture secondary to HELLP syndrome. A favourable evolution was observed after massive transfusion and surgical management limited to hepatic packing. Subcapsular hepatic haematoma is a rare complication of preeclampsia occurring mainly in the context of HELLP syndrome. A high maternal and foetal mortality is observed. Different therapeutic options are presented including medical, surgical and radiological interventions. A unique strategy cannot be defined. Multidisciplinary approach seems mandatory. Surgery should remain as less aggressive as possible. SN - 0750-7658 UR - https://www.unboundmedicine.com/medline/citation/17005357/[HELLP_syndrome_and_ruptured_subcapsular_hepatic_haematoma__Case_report_and_therapeutic_options]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0750-7658(06)00398-4 DB - PRIME DP - Unbound Medicine ER -