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Spontaneous hepatic rupture caused by hemolysis, elevated liver enzymes, and low platelet count syndrome.
Am J Emerg Med. 2014 Jun; 32(6):686.e3-4.AJ

Abstract

The causes of hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome or hepatic hemorrhage as a serious complication of HELLP are not known. Although spontaneous hepatic rupture associated with HELLP syndrome is a rare complication of pregnancy, hepatic rupture results in life-threatening complications. The cornerstone of prognosis is early diagnosis. Hepatic rupture in HELLP syndrome should be considered a differential diagnosis in pregnant patients with sudden onset of abdominal pain or hypotension. We report a case of 30-year-old primigravida female with spontaneous hepatic rupture caused by HELLP syndrome as a presenting symptom of right upper quadrant abdominal pain.

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Publisher Full Text (DOI)

Authors+Show Affiliations

You JS
Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
Chung YE
Department of Radiology and Research Institute of Radiological Science, Yonsei University Severance Hospital, Seoul, Republic of Korea.
Chung HS
Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
Joo Y
Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
Chung SP
Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea. Electronic address: emstar@yuhs.ac.
Lee HS
Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.

MeSH

Abdominal PainAdultEmergency Service, HospitalFemaleHELLP SyndromeHumansLiver DiseasesPregnancyRupture, SpontaneousTomography, X-Ray ComputedUltrasonography

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

24418448

Citation

You, Je Sung, et al. "Spontaneous Hepatic Rupture Caused By Hemolysis, Elevated Liver Enzymes, and Low Platelet Count Syndrome." The American Journal of Emergency Medicine, vol. 32, no. 6, 2014, pp. 686.e3-4.
You JS, Chung YE, Chung HS, et al. Spontaneous hepatic rupture caused by hemolysis, elevated liver enzymes, and low platelet count syndrome. Am J Emerg Med. 2014;32(6):686.e3-4.
You, J. S., Chung, Y. E., Chung, H. S., Joo, Y., Chung, S. P., & Lee, H. S. (2014). Spontaneous hepatic rupture caused by hemolysis, elevated liver enzymes, and low platelet count syndrome. The American Journal of Emergency Medicine, 32(6), e3-4. https://doi.org/10.1016/j.ajem.2013.12.001
You JS, et al. Spontaneous Hepatic Rupture Caused By Hemolysis, Elevated Liver Enzymes, and Low Platelet Count Syndrome. Am J Emerg Med. 2014;32(6):686.e3-4. PubMed PMID: 24418448.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Spontaneous hepatic rupture caused by hemolysis, elevated liver enzymes, and low platelet count syndrome. AU - You,Je Sung, AU - Chung,Yong Eun, AU - Chung,Hyun Soo, AU - Joo,Youngseon, AU - Chung,Sung Phil, AU - Lee,Hahn Shick, Y1 - 2013/12/10/ PY - 2013/11/27/received PY - 2013/12/02/accepted PY - 2014/1/15/entrez PY - 2014/1/15/pubmed PY - 2014/8/5/medline SP - 686.e3 EP - 4 JF - The American journal of emergency medicine JO - Am J Emerg Med VL - 32 IS - 6 N2 - The causes of hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome or hepatic hemorrhage as a serious complication of HELLP are not known. Although spontaneous hepatic rupture associated with HELLP syndrome is a rare complication of pregnancy, hepatic rupture results in life-threatening complications. The cornerstone of prognosis is early diagnosis. Hepatic rupture in HELLP syndrome should be considered a differential diagnosis in pregnant patients with sudden onset of abdominal pain or hypotension. We report a case of 30-year-old primigravida female with spontaneous hepatic rupture caused by HELLP syndrome as a presenting symptom of right upper quadrant abdominal pain. SN - 1532-8171 UR - https://www.unboundmedicine.com/medline/citation/24418448/Spontaneous_hepatic_rupture_caused_by_hemolysis_elevated_liver_enzymes_and_low_platelet_count_syndrome_ DB - PRIME DP - Unbound Medicine ER -