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Diagnostic dilemma: hepatic rupture due to HELLP syndrome vs. trauma

  • Case Report
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Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Case report

We herein present the first reported case of a pregnant patient with underlying pregnancy-induced hypertension and HELLP (hemolysis, elevated liver enzymes, and low platelet count) syndrome who presented with hepatic rupture following a minor motor vehicle accident.

Discussion

The diagnostic dilemma between spontaneous HELLP syndrome-associated versus trauma-related hepatic rupture is discussed.

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References

  1. Gambling DR (2004) Hypertensive disorders. In: Chestnut DH (ed) Obstetric anesthesia: principles and practice. Mosby,St. Louis, pp 794–835

    Google Scholar 

  2. Marsh FA, Kaufmann SJ, Bhabra K (2003) Surviving hepatic rupture in pregnancy—a literature review with an illustrative case report. J Obstet Gynaecol 23:109–113

    Article  PubMed  Google Scholar 

  3. Reck T, Bussenius-Kammerer M, Ott R (2001) Surgical treatment of HELLP syndrome-associated liver rupture—an update. Eur J Obstet Gynecol Reprod Biol 99:57–65

    Article  CAS  PubMed  Google Scholar 

  4. Polley LS (2003) Anesthetic management of hypertension in pregnancy. Clin Obstet Gynecol 46:688–699

    PubMed  Google Scholar 

  5. Yagmurdur MC, Agalar F, Daphan CE (2000) Spontaneous hepatic rupture in pregnancy. Eur J Emerg Med 7:75–76

    CAS  PubMed  Google Scholar 

  6. Castriconi M, Aragiusto G, Ansalone M (2000) Liver rupture in HELLP syndrome. Report of a case. Minerva Chir 55:167–171

    CAS  PubMed  Google Scholar 

  7. Risseeuw JJ, de Vries JE, van Eyck J, Arabin B (1999) Liver rupture postpartum associated with preeclampsia and HELLP syndrome. J Matern Fetal Med 8:32–35

    CAS  PubMed  Google Scholar 

  8. Stevenson JT, Graham DJ (1995) Hepatic hemorrhage and the HELLP syndrome: a surgeon’s perspective. Am Surg 61:756–760

    CAS  PubMed  Google Scholar 

  9. Kuczkowski KM (2004) Trauma in the pregnant patient. Curr Opin Anaesthesiol 17:145–150

    Article  Google Scholar 

  10. Aitokallio-Tallberg A, Halmesmaki E (1997) Motor vehicle accident during the second or third trimester of pregnancy. Acta Obstet Gynecol Scand 76:313–317

    CAS  PubMed  Google Scholar 

  11. Kuczkowski KM, Fouhy SA, Greenberg M, Benumof JL (2003) Trauma in pregnancy: anaesthetic management of the pregnant trauma victim with unstable cervical spine. Anaesthesia 58:822

    Article  CAS  Google Scholar 

  12. Baker BW (2004) Trauma. In: Chestnut DH (ed) Obstetric anesthesia: principles and practice. Mosby, St. Louis, pp 942–950

    Google Scholar 

  13. Nelson TW, Kuczkowski KM (2004) Trauma in pregnancy: anesthetic management of a parturient with hypotensive shock and trauma to the gravid uterus. Acta Anaesthesiol Scand 48:662

    Article  CAS  PubMed  Google Scholar 

  14. Cataldi C, Vennarecci G, Tuccimei U (2003) Trauma of the liver and hepatic pedicle. Minerva Chir 58:615–620

    CAS  PubMed  Google Scholar 

  15. Strate T, Broering DC, Bloechle C (2000) Orthotopic liver transplantation for complicated HELLP syndrome: case report and review of the literature. Arch Gynecol Obstet 264:108–111

    Article  CAS  PubMed  Google Scholar 

  16. Mohr AM, Lavery RF, Barone A (2003) Angiographic embolization for liver injuries: low mortality, high morbidity. J Trauma 55:1077–1081

    PubMed  Google Scholar 

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Correspondence to Krzysztof M. Kuczkowski.

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Harris, B.M., Kuczkowski, K.M. Diagnostic dilemma: hepatic rupture due to HELLP syndrome vs. trauma. Arch Gynecol Obstet 272, 176–178 (2005). https://doi.org/10.1007/s00404-004-0699-6

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  • DOI: https://doi.org/10.1007/s00404-004-0699-6

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