Second trimester hepatic rupture in a 35 year old nulliparous woman with HELLP syndrome: a case report.
AffiliationDepartment of Surgery, Cork University Hospital, Wilton, Cork, Ireland. email@example.com.
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CitationSecond trimester hepatic rupture in a 35 year old nulliparous woman with HELLP syndrome: a case report. 2009, 4:23 World J Emerg Surg
JournalWorld journal of emergency surgery : WJES
AbstractThe HELLP syndrome (haemolysis, elevated liver blood tests and low platelets) is a serious complication in pregnancy characterized by haemolysis, elevated liver enzymes and low platelet count occurring in 0.5 to 0.9% of all pregnancies and in 10-20% of cases with severe preeclampsia. Hepatic capsular rupture is a rare yet dramatic complication of HELLP syndrome. The majority of cases occur in multiparous women over the age of 30. Classically it presents with acute onset right upper quadrant pain in the presence of constitutional symptoms such as vomiting and pyrexia. However, symptoms and signs are usually non specific. Spontaneous hepatic rupture can be preceded by signs of hypovolaemic shock; yet the diagnosis is infrequently made prior to emergent laparotomy. We present the case of a 35 year old nulliparous woman with a second trimester gestational hepatic rupture associated with HELLP syndrome. We briefly discuss the aetiology, diagnostic difficulties and treatment options associated with this rare presentation.
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- [HELLP syndrome--4 case reports].
- Authors: Lorentzen B, Endresen M, Henriksen T, Narverud G
- Issue date: 1992 Oct 20
- Revisiting HELLP syndrome.
- Authors: Dusse LM, Alpoim PN, Silva JT, Rios DR, Brandão AH, Cabral AC
- Issue date: 2015 Dec 7
- A case report of spontaneous splenic capsular rupture associated with atypical presentation of haemolysis, elevated liver enzymes, low platelet count (HELLP) syndrome.
- Authors: Manda P, Dorman E, Olagbaiye F, Akinfenwa O
- Issue date: 2004 Apr
- [Case Report of Liver Rupture with Fulminant HELLP Syndrome in the 37th Gestational Week].
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- Issue date: 2018 Oct