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    Second trimester hepatic rupture in a 35 year old nulliparous woman with HELLP syndrome: a case report.

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    Authors
    Kelly, J
    Ryan, Dj
    O'Brien, N
    Kirwan, Wo
    Affiliation
    Department of Surgery, Cork University Hospital, Wilton, Cork, Ireland. justinjoshkelly@gmail.com.
    Issue Date
    2009
    
    Metadata
    Show full item record
    Citation
    Second trimester hepatic rupture in a 35 year old nulliparous woman with HELLP syndrome: a case report. 2009, 4:23 World J Emerg Surg
    Journal
    World journal of emergency surgery : WJES
    URI
    http://hdl.handle.net/10147/200963
    DOI
    10.1186/1749-7922-4-23
    PubMed ID
    19527504
    Additional Links
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2704176/pdf/1749-7922-4-23.pdf
    http://www.wjes.org/content/pdf/1749-7922-4-23.pdf
    Abstract
    The 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.
    Item Type
    Article
    Language
    en
    ISSN
    1749-7922
    ae974a485f413a2113503eed53cd6c53
    10.1186/1749-7922-4-23
    Scopus Count
    Collections
    Cork University Hospital

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