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Hepatic Rupture in HELLP Syndrome: Report of Two Patients and a Review of Peripartum Surgical Care and Transfusion

Sarah N Larson1, Trevor F Killeen1, Laura Bowman1

  • 1University of Minnesota Medical School - Twin Cities Minneapolis Minnesota US.

Clinical Case Reports
|January 27, 2025
PubMed

Herein, we report the cases of two patients with hemolysis, elevated liver enzymes, and low platelets syndrome who underwent emergent Cesarean sections that were complicated by massive hemorrhage due to undiagnosed hepatic rupture. Intraoperative General Surgery team intervention, early activation of massive transfusion protocol, hemostatic resuscitation, and transfer to ICU resulted in the survival of both patients.

Keywords:
HELLP syndromegeneral surgeryhepatic rupturemassive transfusionpreeclampsia

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