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Fatal postpartum spontaneous liver rupture: case report and literature review.
J Forensic Sci. 2008 Mar; 53(2):472-5.JF

Abstract

Maternal hepatic rupture is a rare complication of pregnancy that can be fatal to both mother and child. This phenomenon is most often associated with preeclampsia/eclampsia and/or HELLP syndrome, which is defined by a collection of clinical features including hemolysis (H), elevated liver enzymes (EL), and a low platelet count (LP). These disease processes are typically identified and treated during pregnancy, often in the last trimester. The described case is unusual in that the decedent had no known history of preeclampsia/eclampsia or HELLP syndrome during this pregnancy, and she died suddenly several days postpartum of liver rupture with massive intraperitoneal hemorrhage following a routine cesarean section delivery and an uneventful hospital course. Similar cases are infrequent in the literature, which is reviewed in this report.

Authors+Show Affiliations

Department of Pathology, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA. bcsutton@mac.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

18366583

Citation

Sutton, Bobbie Collett, et al. "Fatal Postpartum Spontaneous Liver Rupture: Case Report and Literature Review." Journal of Forensic Sciences, vol. 53, no. 2, 2008, pp. 472-5.
Sutton BC, Dunn ST, Landrum J, et al. Fatal postpartum spontaneous liver rupture: case report and literature review. J Forensic Sci. 2008;53(2):472-5.
Sutton, B. C., Dunn, S. T., Landrum, J., & Mielke, G. (2008). Fatal postpartum spontaneous liver rupture: case report and literature review. Journal of Forensic Sciences, 53(2), 472-5. https://doi.org/10.1111/j.1556-4029.2008.00677.x
Sutton BC, et al. Fatal Postpartum Spontaneous Liver Rupture: Case Report and Literature Review. J Forensic Sci. 2008;53(2):472-5. PubMed PMID: 18366583.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Fatal postpartum spontaneous liver rupture: case report and literature review. AU - Sutton,Bobbie Collett, AU - Dunn,S Terence, AU - Landrum,Jeff, AU - Mielke,Greg, PY - 2008/3/28/pubmed PY - 2008/6/18/medline PY - 2008/3/28/entrez SP - 472 EP - 5 JF - Journal of forensic sciences JO - J Forensic Sci VL - 53 IS - 2 N2 - Maternal hepatic rupture is a rare complication of pregnancy that can be fatal to both mother and child. This phenomenon is most often associated with preeclampsia/eclampsia and/or HELLP syndrome, which is defined by a collection of clinical features including hemolysis (H), elevated liver enzymes (EL), and a low platelet count (LP). These disease processes are typically identified and treated during pregnancy, often in the last trimester. The described case is unusual in that the decedent had no known history of preeclampsia/eclampsia or HELLP syndrome during this pregnancy, and she died suddenly several days postpartum of liver rupture with massive intraperitoneal hemorrhage following a routine cesarean section delivery and an uneventful hospital course. Similar cases are infrequent in the literature, which is reviewed in this report. SN - 0022-1198 UR - https://www.unboundmedicine.com/medline/citation/18366583/Fatal_postpartum_spontaneous_liver_rupture:_case_report_and_literature_review_ L2 - https://doi.org/10.1111/j.1556-4029.2008.00677.x DB - PRIME DP - Unbound Medicine ER -