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DOI: 10.1055/a-1967-2451
Conservative Treatment of Huge Hepatic Subcapsular Hematoma Complicated with Hepatic Infarction after Cesarean Section Caused by HELLP Syndrome – a Case Report and Literature Review
Autor*innen
Abstract
Hepatic subcapsular hematoma and hepatic infarction in labor are mostly secondary to HELLP syndrome and preeclampsia. There are few reported cases with a complicated diagnosis and treatment and high mortality. Here, we present a case of a huge hepatic subcapsular hematoma complicated with hepatic infarction after cesarean section that was secondary to HELLP syndrome and the patient was treated conservatively. Further, we have discussed the diagnosis and treatment of hepatic subcapsular hematoma and hepatic infarction caused by HELLP syndrome.
Key words
Conservative treatment - hepatic subcapsular hematoma - hepatic infarction - HELLP syndromePublikationsverlauf
Eingereicht: 16. März 2022
Angenommen nach Revision: 12. Oktober 2022
Artikel online veröffentlicht:
27. Februar 2023
© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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References
- 1 Gestational Hypertension and Preeclampsia: ACOG Practice Bulletin Summary, Number 222. Obstet Gynecol 2020; 135: 1492-1495
- 2 Brown MA, Magee LA, Kenny LC. et al. The hypertensive disorders of pregnancy: ISSHP classification, diagnosis & management recommendations for international practice. Pregnancy Hypertens 2018; 13: 291-310
- 3 Sibai BM, Ramadan MK, Usta I. et al. Maternal morbidity and mortality in 442 pregnancies with hemolysis, elevated liver enzymes, and low platelets (HELLP syndrome). Am J Obstet Gynecol 1993; 169: 1000-1006
- 4 Weinstein L. Syndrome of hemolysis, elevated liver enzymes, and low platelet count: a severe consequence of hypertension in pregnancy. 1982. Am J Obstet Gynecol 2005; 193: 859 discussion 860
- 5 Gupta A, Joseph SR, Jeffries B. Managing a rare complication of HELLP syndrome in Australia: Spontaneous liver hematoma in pregnancy. Aust N Z J Obstet Gynaecol 2021; 61: 188-194
- 6 Marsh FA, Kaufmann SJ, Bhabra K. Surviving hepatic rupture in pregnancy--a literature review with an illustrative case report. J Obstet Gynaecol 2003; 23: 109-113
- 7 Zidouh S, Belyamani L, Kouach J. et al. Subcapsular hepatic hematoma revealed by hemorrhagic shock in a preeclamptic patient. J Emerg Med 2012; 42: 585-586
- 8 Carlson KL, Bader CL. Ruptured subcapsular liver hematoma in pregnancy: a case report of nonsurgical management. Am J Obstet Gynecol 2004; 190: 558-560
- 9 Wicke C, Pereira PL, Neeser E. et al. Subcapsular liver hematoma in HELLP syndrome: Evaluation of diagnostic and therapeutic options – a unicenter study. Am J Obstet Gynecol 2004; 190: 106-112
- 10 Ditisheim A, Sibai BM. Diagnosis and management of HELLP syndrome complicated by liver hematoma. Clin Obstet Gynecol 2017; 60: 190-197
- 11 Abildgaard U, Heimdal K. Pathogenesis of the syndrome of hemolysis, elevated liver enzymes, and low platelet count (HELLP): a review. Eur J Obstet Gynecol Reprod Biol 2013; 166: 117-123
- 12 von Salmuth V, van der Heiden Y, Bekkers I. et al. The role of hepatic sinusoidal obstruction in the pathogenesis of the hepatic involvement in HELLP syndrome: Exploring the literature. Pregnancy Hypertens 2020; 19: 37-43
- 13 Barton JR, Riely CA, Adamec TA. et al. Hepatic histopathologic condition does not correlate with laboratory abnormalities in HELLP syndrome (hemolysis, elevated liver enzymes, and low platelet count). Am J Obstet Gynecol 1992; 167: 1538-1543
- 14 Mazzola A, Magro B, Perdigao F. et al. Acute liver failure and HELLP syndrome: A clinical case and literature review. Clin Res Hepatol Gastroenterol 2021; 45: 101498
- 15 Barton JR, Sibai BM. Hepatic imaging in HELLP syndrome (hemolysis, elevated liver enzymes, and low platelet count). Am J Obstet Gynecol 1996; 174: 1820-1825 discussion 1825–1827
- 16 Grand’Maison S, Sauvé N, Weber F. et al. Hepatic rupture in hemolysis, elevated liver enzymes, low platelets syndrome. Obstet Gynecol 2012; 119: 617-625
- 17 Sibai BM. The HELLP syndrome (hemolysis, elevated liver enzymes, and low platelets): much ado about nothing?. Am J Obstet Gynecol 1990; 162: 311-316
- 18 Bis KA, Waxman B. Rupture of the liver associated with pregnancy: a review of the literature and report of 2 cases. Obstet Gynecol Surv 1976; 31: 763-773
- 19 Araujo AC, Leao MD, Nobrega MH. et al. Characteristics and treatment of hepatic rupture caused by HELLP syndrome. Am J Obstet Gynecol 2006; 195: 129-133
- 20 Guo Q, Yang Z, Guo J. et al. Hepatic infarction induced by HELLP syndrome: a case report and review of the literature. BMC Pregnancy Childbirth 2018; 18: 191
- 21 Erkurt MA, Sarici A, Kuku I. et al. The effect of therapeutic plasma exchange on management of HELLP Syndrome: The report of 47 patients. Transfus Apher Sci 2021; 60: 103248
- 22 Wilson SG, White AD, Young AL. et al. The management of the surgical complications of HELLP syndrome. Ann R Coll Surg Engl 2014; 96: 512-516
- 23 Reck T, Bussenius-Kammerer M, Ott R. et al. Surgical treatment of HELLP syndrome-associated liver rupture – an update. Eur J Obstet Gynecol Reprod Biol 2001; 99: 57-65
- 24 Erhard J, Lange R, Niebel W. et al. Acute liver necrosis in the HELLP syndrome: successful outcome after orthotopic liver transplantation. A case report.. Transpl Int 1993; 6: 179-181