Liver rupture postpartum associated with preeclampsia and HELLP syndrome

✍ Scribed by Jacob Johannes Risseeuw; Johannes Engelbertus de Vries; Jim van Eyck; Birgit Arabin

• Publisher: John Wiley and Sons
• Year: 1999
• Tongue: English
• Weight: 58 KB
• Volume: 8
• Category: Article
• ISSN: 1057-0802
• DOI: 10.1002/(sici)1520-6661(199901/02)8:1<32::aid-mfm8>3.0.co;2-s

✦ Synopsis

Liver rupture is a rare perinatal complication with high maternal mortality. In a multiparous woman with preeclampsia and Hemolysis, Elevated Liver enzymes, and Low Platelet count (HELLP) syndrome, liver rupture was suspected 10 h after a cesarean section. Laparotomy revealed liver rupture which was treated by perihepatic packing. Eventually, the mother was discharged with her baby 88 days after admission. Clinical symptoms, maternal hemodynamics by Swan-Ganz monitoring, and laboratory findings were not predictive until the emergency situation and the consecutive complications required multidisciplinary management.