Korean J Obstet Gynecol.  2004 Oct;47(10):1991-1995.

Postpartum Spontaneous Intrahepatic Hemorrhage and Hepatic Rupture in the HELLP Syndrome

Affiliations
  • 1Department of Obstetrics AND Gynecology, Ulsan University Hospital, Ulsan, Korea.
  • 2Department of Surgery, Ulsan University Hospital, Ulsan, Korea.
  • 3Department of Surgical Pathology, Ulsan University Hospital, Ulsan, Korea.

Abstract

The HELLP syndrome, which is characterized by hemolysis, elevated liver enzymes and low platelets, complicates 4 to 14% of preeclamptic or eclamptic pregnancy. Its course is usually benign except when spontaneous hepatic rupture, a rare catastrophic event, threatens life. The authors have experienced one case of spontaneous hepatic rupture in HELLP syndrome during immediate postpartum period, which was treated with surgical intervention on the first postpartum day. We report this case with a brief review of the literatures.

Keyword

Hepatic rupture; HELLP syndrome

MeSH Terms

Female
HELLP Syndrome*
Hemolysis
Hemorrhage*
Liver
Postpartum Period*
Pregnancy
Rupture*
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