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[Rupture of a subcapsular liver hematoma in the postpartum period associated with HELLP syndrome].
Helv Chir Acta. 1990 Jun; 57(1):29-32.HC

Abstract

We describe the case of a 31-year-old woman who underwent a section caesarean and 24 hours later a laparotomy for treatment of a ruptured subcapsular liver hematoma due to a HELLP syndrome. The HELLP syndrome (hemolysis, elevated liver enzymes, low platelets count) is a serious complication of the pregnancy with or without eclampsia. This complication has a high mortality and morbidity and can occur during the pregnancy or after delivery. The diagnosis of a subcapsular hematoma of the liver should be considered in patients with acute abdominal pain in the last trimenon or just after delivery. Laparotomy must be performed at the first signs of hemodynamic instability.

Authors+Show Affiliations

Carrel T
Klinik für viszerale und Transplantationschirurgie, Inselspital Bern.
Huber A
No affiliation info available
Schärl HR
No affiliation info available
Gysler H
No affiliation info available
Gertsch P
No affiliation info available

MeSH

AdultAnemia, HemolyticCesarean SectionFemaleHematomaHumansLiver DiseasesPostoperative ComplicationsPre-EclampsiaPregnancyPuerperal DisordersRupture, SpontaneousSyndromeThrombocytopenia

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

fre

PubMed ID

2228681

Citation

Carrel, T, et al. "[Rupture of a Subcapsular Liver Hematoma in the Postpartum Period Associated With HELLP Syndrome]." Helvetica Chirurgica Acta, vol. 57, no. 1, 1990, pp. 29-32.
Carrel T, Huber A, Schärl HR, et al. [Rupture of a subcapsular liver hematoma in the postpartum period associated with HELLP syndrome]. Helv Chir Acta. 1990;57(1):29-32.
Carrel, T., Huber, A., Schärl, H. R., Gysler, H., & Gertsch, P. (1990). [Rupture of a subcapsular liver hematoma in the postpartum period associated with HELLP syndrome]. Helvetica Chirurgica Acta, 57(1), 29-32.
Carrel T, et al. [Rupture of a Subcapsular Liver Hematoma in the Postpartum Period Associated With HELLP Syndrome]. Helv Chir Acta. 1990;57(1):29-32. PubMed PMID: 2228681.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Rupture of a subcapsular liver hematoma in the postpartum period associated with HELLP syndrome]. AU - Carrel,T, AU - Huber,A, AU - Schärl,H R, AU - Gysler,H, AU - Gertsch,P, PY - 1990/6/1/pubmed PY - 1990/6/1/medline PY - 1990/6/1/entrez SP - 29 EP - 32 JF - Helvetica chirurgica acta JO - Helv Chir Acta VL - 57 IS - 1 N2 - We describe the case of a 31-year-old woman who underwent a section caesarean and 24 hours later a laparotomy for treatment of a ruptured subcapsular liver hematoma due to a HELLP syndrome. The HELLP syndrome (hemolysis, elevated liver enzymes, low platelets count) is a serious complication of the pregnancy with or without eclampsia. This complication has a high mortality and morbidity and can occur during the pregnancy or after delivery. The diagnosis of a subcapsular hematoma of the liver should be considered in patients with acute abdominal pain in the last trimenon or just after delivery. Laparotomy must be performed at the first signs of hemodynamic instability. SN - 0018-0181 UR - https://www.unboundmedicine.com/medline/citation/2228681/[Rupture_of_a_subcapsular_liver_hematoma_in_the_postpartum_period_associated_with_HELLP_syndrome]_ DB - PRIME DP - Unbound Medicine ER -