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Diagnosis and Management of HELLP Syndrome Complicated by Liver Hematoma.
Clin Obstet Gynecol. 2017 03; 60(1):190-197.CO

Abstract

Subcapsular liver hematoma is a rare but potentially life-threatening complication of preeclampsia and hemolysis, elevated liver enzymes, and low platelets syndrome. It may present with nonspecific signs and symptoms, none of which are diagnostic, and can mimic pulmonary embolism of cholecystitis. There is no consensus on the management of subcapsular liver hematoma. Unruptured liver hematoma can be conservatively managed. When rupture occurs, surgical, endovascular approaches and, rarely, liver transplantation, may be required. Actual literature is scant and retrospective in nature. Data on follow-up, time to resolution and outcome of subsequent pregnancies are very limited. We here review the diagnosis and management of liver hematoma.

Authors+Show Affiliations

*Department of Obstetrics and Gynecology, McGovern Medical School at UTHealth, Houston, Texas †Faculty of Medicine, University of Geneva, Switzerland.No affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

28005587

Citation

Ditisheim, Agnès, and Baha M. Sibai. "Diagnosis and Management of HELLP Syndrome Complicated By Liver Hematoma." Clinical Obstetrics and Gynecology, vol. 60, no. 1, 2017, pp. 190-197.
Ditisheim A, Sibai BM. Diagnosis and Management of HELLP Syndrome Complicated by Liver Hematoma. Clin Obstet Gynecol. 2017;60(1):190-197.
Ditisheim, A., & Sibai, B. M. (2017). Diagnosis and Management of HELLP Syndrome Complicated by Liver Hematoma. Clinical Obstetrics and Gynecology, 60(1), 190-197. https://doi.org/10.1097/GRF.0000000000000253
Ditisheim A, Sibai BM. Diagnosis and Management of HELLP Syndrome Complicated By Liver Hematoma. Clin Obstet Gynecol. 2017;60(1):190-197. PubMed PMID: 28005587.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diagnosis and Management of HELLP Syndrome Complicated by Liver Hematoma. AU - Ditisheim,Agnès, AU - Sibai,Baha M, PY - 2016/12/23/pubmed PY - 2018/2/27/medline PY - 2016/12/23/entrez SP - 190 EP - 197 JF - Clinical obstetrics and gynecology JO - Clin Obstet Gynecol VL - 60 IS - 1 N2 - Subcapsular liver hematoma is a rare but potentially life-threatening complication of preeclampsia and hemolysis, elevated liver enzymes, and low platelets syndrome. It may present with nonspecific signs and symptoms, none of which are diagnostic, and can mimic pulmonary embolism of cholecystitis. There is no consensus on the management of subcapsular liver hematoma. Unruptured liver hematoma can be conservatively managed. When rupture occurs, surgical, endovascular approaches and, rarely, liver transplantation, may be required. Actual literature is scant and retrospective in nature. Data on follow-up, time to resolution and outcome of subsequent pregnancies are very limited. We here review the diagnosis and management of liver hematoma. SN - 1532-5520 UR - https://www.unboundmedicine.com/medline/citation/28005587/Diagnosis_and_Management_of_HELLP_Syndrome_Complicated_by_Liver_Hematoma_ DB - PRIME DP - Unbound Medicine ER -
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