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.
Links
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 -