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Spontaneous Hepatic Rupture During Third Trimester of Pregnancy
Authors:A. Peitsidou  P. Peitsidis  J. Contis
Affiliation:1. Department of Obstetrics and Gynaecology Alexandra General Hospital, Athens Greece.;2. Department of Gynaecology Metaxa Hospital, Piraeus Greece;3. Department of General Surgery Athens University Medical School, Aretaieion Hospital, Athens Greece.
Abstract:Hepatic rupture is a rare and devastating complication in pregnancy, mainly associated with pre-eclampsia and HELLP (Hemolysis, Elevated Liver enzymes, Low Platelet count). It has an incidence of 1 case in 45,000225,000 births. Nearly 200 cases have been reported in the international literature. We report a case of a hepatic rupture with severe haemorrhage caused by HELLP in a third trimester pregnancy. The case was managed successfully with no pathological complications for either the mother or the infant. The physician should be aware of this condition when dealing with intra-abdominal haemorrhage during pregnancy.
Keywords:Hepatic rupture  HELLP  pregnancy
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