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Perioperative challenges following management of spontaneous hepatic rupture in a parturient with severe

Keevan Singh1, Randall Carvalho1, Allan Tinne2

  • 1Department of Anaesthesia and Intensive Care, San Fernando General Hospital, Trinidad and Tobago.

Case Reports in Women'S Health
|March 27, 2023
PubMed

Spontaneous hepatic rupture in pregnancy (SHRP) is a rare but often fatal condition associated with pre-eclampsia or HELLP (haemolysis, elevated liver enzymes, low platelets) syndrome. SHRP is linked to significant maternal and perinatal morbidity and mortality, and maternal complications can extend past the initial intraoperative period. This case report describes the challenging perioperative course of a 35-year-old woman with SHRP. She underwent five laparotomies during a prolonged and complicated course in the intensive care unit. Despite these challenges, maternal and fetal outcomes were good. This case report serves to highlight key perioperative multidisciplinary issues in the care of these patients.

Keywords:
Case reportHaemoperitoneumLiver surgeryMultidisciplinary careSpontaneous hepatic rupture in pregnancy

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