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[Manifestations of ruptured liver hematoma as a severe complication of HELLP syndrome]

R Hackenberg1, J Kussmann, K D Schulz

  • 1Klinik für Frauenheilkunde und Geburtshilfe, Philipps-Universität Marburg.

Geburtshilfe Und Frauenheilkunde
|April 1, 1991
PubMed

A case of a ruptured haematoma of the liver with intra-abdominal bleeding is reported. The 26-year old primigravida was admitted in the 31st week of gestation because of a HELLP syndrome. She presented additional symptoms, that are considered typical for a HELLP syndrome, complicated by a ruptured haematoma of the liver: severe right upper-quadrant pain, decrease of haemoglobin content, enlarged liver with structural irregularities and free fluid in the abdominal cavity as examined by sonography. During Caesarean section, a subcapsular haematoma of the liver, combined with a 5 cm laceration of the organ surface, was found. The defect was closed with collagen gauze and clotted with fibrin. Additionally the liver was compressed by abdominal compression towels, which were removed 2 days later. The postoperative development was, in the main, complication free.

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