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Spontaneous liver hematoma in pregnancy not clearly associated with preeclampsia: a case presentation and literature review.
Am J Obstet Gynecol. 1997 Jun; 176(6):1328-32; discussion 1332-3.AJ

Abstract

Spontaneous liver hemorrhage with formation of subcapsular hematomas and rupture of Glissan's capsule is a rare but often lethal complication of pregnancy. This entity has usually been associated with severe preeclampsia or the HELLP (hemolysis, elevated liver enzymes, low platelets) syndrome. A case of spontaneous subcapsular hematoma of the liver occurring in the third trimester is presented in which the patient probably had neither preeclampsia nor the HELLP syndrome. The literature on liver hematomas in pregnancy published since 1982 when the term HELLP syndrome was coined is reviewed with a focus on the association of liver hematomas with preeclampsia and the HELLP syndrome. Therapy and maternal and neonatal outcomes for this entity are reassessed.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Bess Kaiser Medical Center, Portland, OR, USA.No affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

9215192

Citation

Schwartz, M L., and J M. Lien. "Spontaneous Liver Hematoma in Pregnancy Not Clearly Associated With Preeclampsia: a Case Presentation and Literature Review." American Journal of Obstetrics and Gynecology, vol. 176, no. 6, 1997, pp. 1328-32; discussion 1332-3.
Schwartz ML, Lien JM. Spontaneous liver hematoma in pregnancy not clearly associated with preeclampsia: a case presentation and literature review. Am J Obstet Gynecol. 1997;176(6):1328-32; discussion 1332-3.
Schwartz, M. L., & Lien, J. M. (1997). Spontaneous liver hematoma in pregnancy not clearly associated with preeclampsia: a case presentation and literature review. American Journal of Obstetrics and Gynecology, 176(6), 1328-32; discussion 1332-3.
Schwartz ML, Lien JM. Spontaneous Liver Hematoma in Pregnancy Not Clearly Associated With Preeclampsia: a Case Presentation and Literature Review. Am J Obstet Gynecol. 1997;176(6):1328-32; discussion 1332-3. PubMed PMID: 9215192.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Spontaneous liver hematoma in pregnancy not clearly associated with preeclampsia: a case presentation and literature review. AU - Schwartz,M L, AU - Lien,J M, PY - 1997/6/1/pubmed PY - 1997/6/1/medline PY - 1997/6/1/entrez SP - 1328-32; discussion 1332-3 JF - American journal of obstetrics and gynecology JO - Am J Obstet Gynecol VL - 176 IS - 6 N2 - Spontaneous liver hemorrhage with formation of subcapsular hematomas and rupture of Glissan's capsule is a rare but often lethal complication of pregnancy. This entity has usually been associated with severe preeclampsia or the HELLP (hemolysis, elevated liver enzymes, low platelets) syndrome. A case of spontaneous subcapsular hematoma of the liver occurring in the third trimester is presented in which the patient probably had neither preeclampsia nor the HELLP syndrome. The literature on liver hematomas in pregnancy published since 1982 when the term HELLP syndrome was coined is reviewed with a focus on the association of liver hematomas with preeclampsia and the HELLP syndrome. Therapy and maternal and neonatal outcomes for this entity are reassessed. SN - 0002-9378 UR - https://www.unboundmedicine.com/medline/citation/9215192/Spontaneous_liver_hematoma_in_pregnancy_not_clearly_associated_with_preeclampsia:_a_case_presentation_and_literature_review_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9378(97)70353-3 DB - PRIME DP - Unbound Medicine ER -