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Hepatic infarction in preeclampsia as part of the HELLP syndrome: CT appearance

R Zissin1, D Yaffe, M Fejgin

  • 1Department of Diagnostic Imaging, Sapir Medical Center, Sackler Faculty of Medicine, 44281 Kfar Saba, Israel.

Abdominal Imaging
|October 20, 1999
PubMed

Insights

Computed tomographic (CT) scans revealed hepatic infarctions in preeclamptic women with HELLP syndrome. Characteristic CT findings aid in diagnosing these liver conditions during pregnancy.

Area of Science:

  • Radiology
  • Obstetrics
  • Hepatology

Background:

  • Preeclampsia is a serious pregnancy complication.
  • HELLP syndrome (hemolysis, elevated liver function tests, low platelets) can occur with preeclampsia.
  • Hepatic complications in preeclampsia require accurate diagnostic methods.

Observation:

  • This study examined two pregnant women with preeclampsia and HELLP syndrome.
  • Computed tomographic (CT) imaging was used to evaluate liver abnormalities.
  • Specific CT features of hepatic infarction were identified.

Findings:

  • CT scans showed multiple, peripheral liver lesions in both patients.
  • These lesions were characterized by low attenuation and lack of enhancement.
  • Vessels coursing through the lesions and a mottled appearance were noted.

Implications:

  • Recognizing these CT findings is crucial for diagnosing hepatic infarctions in preeclampsia.
  • Accurate diagnosis can lead to timely and appropriate patient management.
  • CT imaging plays a vital role in identifying liver disease associated with pregnancy complications.

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