Right hepatectomy after spontaneous hepatic rupture in a patient with preeclampsia: A case report |
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Affiliation: | 1. Fundacion Universitaria Ciencias de la Salud, Colombia;2. Department of Surgery, Hepatobiliary and Transplant Surgery, Hospital de San Jose, Bogota, Colombia, Fundacion Universitaria Ciencias de la Salud |
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Abstract: | IntroductionSpontaneous hepatic rupture associated with preecalmpsia or HELLP syndrome is a rare and life threatining event, only 200 cases have been reported in the literature.Presentation of caseWe present a case of a 31 year old female with 28 weeks of gestation that presented with acute abdominal pain, elevated blood pressure and altered liver enzymes an abdominal ultrasound that showed a subcapsular hematoma occupying the whole right lobe and free abdominal fluid, she required emergent laparotomy, C-section, hepatic packing, followed by angioembolization and finally right hepatectomy.Discussion and conslusionSpontaneous hepatic rupture due to preeclampsia or HELLP syndrome is a medical emergency, it requires a prompt and decisive treatment. Multiple treatment modalities are available, from simple hepatic packing to endovascular embolization, but in extreme situations a formal hepatectomy might be required. |
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Keywords: | Spontaneous hepatic rupture HELLP syndrome Hepatectomy Angioembolization |
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