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Updated: Mar 12, 2026

Introduction of Intracapsular Rotary-cut Procedures IRCP: A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
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Hepatic capsular rupture in pregnancy.

Charlotte J Frise1, Peyton Davis1, Graham Barker1

  • 1John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.

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PubMed
Summary

Haemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome is a rare pregnancy complication. This case highlights diagnostic challenges in pregnant women with complex medical issues.

Keywords:
Liver failureacuteelevated liver enzymes and low platelets syndromehaemolysispregnancy

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Area of Science:

  • Obstetrics and Gynecology
  • Hematology
  • Hepatology

Background:

  • HELLP syndrome is a rare pregnancy complication, affecting 5-20% of pre-eclamptic pregnancies.
  • It involves haemolysis, elevated liver enzymes, and low platelets.

Observation:

  • A first-time pregnant woman experienced intrauterine death due to hepatic haematoma and capsular rupture.
  • She lacked typical pre-eclampsia symptoms.

Findings:

  • The patient's presentation suggested HELLP syndrome as the likely diagnosis.
  • This case underscores the diagnostic complexities in pregnant patients with co-existing medical and obstetric conditions.

Implications:

  • Highlights the need for vigilant diagnosis of HELLP syndrome, even without classic pre-eclampsia signs.
  • Emphasizes the challenges in managing pregnant women with multifaceted medical and obstetric complications.