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Case Reports
Diagnosis and surgical management of spontaneous hepatic rupture associated with HELLP syndrome.
- Theodoros Pavlis, Stavros Aloizos, Paraskevi Aravosita, Christina Mystakelli, Dimitra Petrochilou, Nikitas Dimopoulos, and Stavros Gourgiotis.
- Intensive Care Unit, Mitera Hospital of Athens, Greece.
- J Surg Educ. 2009 May 1; 66 (3): 163-7.
AbstractSpontaneous hepatic rupture with hemoperitoneum is an uncommon but devastating complication of hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome. Although the syndrome has been considered a variant of preeclampsia/eclampsia, its pathogenesis is not completely understood. Hepatic rupture increases the perinatal and maternal morbidity and mortality. This report describes 3 cases of extensive spontaneous hepatic rupture in pregnant women with HELLP syndrome. Early diagnosis and adequate tertiary management of this rare but life-threatening condition reduce the high maternal and newborn mortality.
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