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Hepatic rupture after cesarean section in a patient with HELLP syndrome: a case report and review of the literature.
Arch Gynecol Obstet. 2007 Aug; 276(2):189-92.AG

Abstract

BACKGROUND

Spontaneous hepatic rupture in pregnancy is rare and carries a high maternal and perinatal mortality.

CASE REPORT

We describe a case of hepatic rupture that occurred after emergency caesarean section performed in a pregnant woman at 38 weeks of gestation with Hemolysis, Elevated Liver enzymes and Low Platelet count (HELLP) syndrome. The patient was discharged after 30 days of intensive therapy and four explorative laparotomies. Today, 2 years after delivery, the patient and her baby are doing well.

CONCLUSION

Hepatic rupture in pregnancy is a rare event that may complicate HELLP syndrome. In this case, we were able to achieve an excellent clinical outcome by the performance of an immediately explorative laparotomy.

Authors+Show Affiliations

Department of Pharmacology, Gynecology and Obstetrics, University of Sassari, Viale San Pietro 12, Sassari 07100, Italy.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

17479271

Citation

Dessole, Salvatore, et al. "Hepatic Rupture After Cesarean Section in a Patient With HELLP Syndrome: a Case Report and Review of the Literature." Archives of Gynecology and Obstetrics, vol. 276, no. 2, 2007, pp. 189-92.
Dessole S, Capobianco G, Virdis P, et al. Hepatic rupture after cesarean section in a patient with HELLP syndrome: a case report and review of the literature. Arch Gynecol Obstet. 2007;276(2):189-92.
Dessole, S., Capobianco, G., Virdis, P., Rubattu, G., Cosmi, E., & Porcu, A. (2007). Hepatic rupture after cesarean section in a patient with HELLP syndrome: a case report and review of the literature. Archives of Gynecology and Obstetrics, 276(2), 189-92.
Dessole S, et al. Hepatic Rupture After Cesarean Section in a Patient With HELLP Syndrome: a Case Report and Review of the Literature. Arch Gynecol Obstet. 2007;276(2):189-92. PubMed PMID: 17479271.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Hepatic rupture after cesarean section in a patient with HELLP syndrome: a case report and review of the literature. AU - Dessole,Salvatore, AU - Capobianco,Giampiero, AU - Virdis,Paolo, AU - Rubattu,Giovanni, AU - Cosmi,Erich, AU - Porcu,Alberto, PY - 2006/11/10/received PY - 2006/12/28/accepted PY - 2007/5/5/pubmed PY - 2008/1/25/medline PY - 2007/5/5/entrez SP - 189 EP - 92 JF - Archives of gynecology and obstetrics JO - Arch Gynecol Obstet VL - 276 IS - 2 N2 - BACKGROUND: Spontaneous hepatic rupture in pregnancy is rare and carries a high maternal and perinatal mortality. CASE REPORT: We describe a case of hepatic rupture that occurred after emergency caesarean section performed in a pregnant woman at 38 weeks of gestation with Hemolysis, Elevated Liver enzymes and Low Platelet count (HELLP) syndrome. The patient was discharged after 30 days of intensive therapy and four explorative laparotomies. Today, 2 years after delivery, the patient and her baby are doing well. CONCLUSION: Hepatic rupture in pregnancy is a rare event that may complicate HELLP syndrome. In this case, we were able to achieve an excellent clinical outcome by the performance of an immediately explorative laparotomy. SN - 0932-0067 UR - https://www.unboundmedicine.com/medline/citation/17479271/Hepatic_rupture_after_cesarean_section_in_a_patient_with_HELLP_syndrome:_a_case_report_and_review_of_the_literature_ L2 - https://dx.doi.org/10.1007/s00404-006-0318-9 DB - PRIME DP - Unbound Medicine ER -