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[Liver rupture in peripartum: about 8 cases].
J Gynecol Obstet Biol Reprod (Paris). 2007 Feb; 36(1):57-61.JG

Abstract

OBJECTIVES

Subcapsular liver hematoma (SLH) is a serious complication of the preeclampsia and HELLP syndrom. We report eight cases, and we'll precise circumstances of occurrence of this complication, its management and its prognosis.

MATERIALS AND METHODS

Between January 2000 and December 2005, we enrolled eight patients with SLH cases in the intensive care unit of maternity's Ibn Rochd university hospital in Casablanca, Morocco.

RESULTS

The patients are 22 to 41-years-old; six are multiparous, without prenatal care. All are preeclamptic. We diagnosed the SLH in prepartum stage in one case, in operating room in five cases and in post partum stage in two cases. We established blood pressure and homeostasis disturbances, the surgeon made packing for six patients with hepatic artery ligature in two cases. In two other patients, we did only medical care. We noted five deaths, four after hematoma rupture.

CONCLUSION

These results were compared with literature, we need to look for this complication in all-severe preeclampsia with HELLP syndrome, and treat all haemostatic disorders.

Authors+Show Affiliations

Service d'Anesthésie-Réanimation Obstétricale, CHU Ibn-Rochd, Casablanca, Maroc. ismail.elyoussoufi@caramail.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

fre

PubMed ID

17293253

Citation

El Youssoufi, S, et al. "[Liver Rupture in Peripartum: About 8 Cases]." Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction, vol. 36, no. 1, 2007, pp. 57-61.
El Youssoufi S, Nsiri A, Salmi S, et al. [Liver rupture in peripartum: about 8 cases]. J Gynecol Obstet Biol Reprod (Paris). 2007;36(1):57-61.
El Youssoufi, S., Nsiri, A., Salmi, S., & Miguil, M. (2007). [Liver rupture in peripartum: about 8 cases]. Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction, 36(1), 57-61.
El Youssoufi S, et al. [Liver Rupture in Peripartum: About 8 Cases]. J Gynecol Obstet Biol Reprod (Paris). 2007;36(1):57-61. PubMed PMID: 17293253.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Liver rupture in peripartum: about 8 cases]. AU - El Youssoufi,S, AU - Nsiri,A, AU - Salmi,S, AU - Miguil,M, Y1 - 2007/01/08/ PY - 2006/05/18/received PY - 2006/07/12/revised PY - 2006/09/26/accepted PY - 2007/2/13/pubmed PY - 2007/7/13/medline PY - 2007/2/13/entrez SP - 57 EP - 61 JF - Journal de gynecologie, obstetrique et biologie de la reproduction JO - J Gynecol Obstet Biol Reprod (Paris) VL - 36 IS - 1 N2 - OBJECTIVES: Subcapsular liver hematoma (SLH) is a serious complication of the preeclampsia and HELLP syndrom. We report eight cases, and we'll precise circumstances of occurrence of this complication, its management and its prognosis. MATERIALS AND METHODS: Between January 2000 and December 2005, we enrolled eight patients with SLH cases in the intensive care unit of maternity's Ibn Rochd university hospital in Casablanca, Morocco. RESULTS: The patients are 22 to 41-years-old; six are multiparous, without prenatal care. All are preeclamptic. We diagnosed the SLH in prepartum stage in one case, in operating room in five cases and in post partum stage in two cases. We established blood pressure and homeostasis disturbances, the surgeon made packing for six patients with hepatic artery ligature in two cases. In two other patients, we did only medical care. We noted five deaths, four after hematoma rupture. CONCLUSION: These results were compared with literature, we need to look for this complication in all-severe preeclampsia with HELLP syndrome, and treat all haemostatic disorders. SN - 0368-2315 UR - https://www.unboundmedicine.com/medline/citation/17293253/[Liver_rupture_in_peripartum:_about_8_cases]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0368-2315(06)00006-8 DB - PRIME DP - Unbound Medicine ER -