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[HELLP syndrome. Hepatic subcapsular hematoma and infarction. 2 cases reports]
D Rodríguez González1, R Velarde Ibarra, E Cortez Alatorre
1Unidad de Cuidados Intensivos Nuevo Hospital Civil de Guadalajara.
Two patients with HELLP syndrome are presented and hepatic subcapsular haematoma and infarction were documented. The first clinical manifestation in both cases was hypotension. A surgical pregnancy interruption was required. These patients also presented leukocytosis, renal insufficiency, severe hepatic failure and the presence of hepatic encephalopathy (grade III-IV). One patient died in spite of medical intervention with multiple organ failure. The other patient is still alive but with minor liver dysfunction.
Two patients with HELLP syndrome are presented and hepatic subcapsular haematoma and infarction were documented. The first clinical manifestation in both cases was hypotension. A surgical pregnancy interruption was required. These patients also presented leukocytosis, renal insufficiency, severe hepatic failure and the presence of hepatic encephalopathy (grade III-IV). One patient died in spite of medical intervention with multiple organ failure. The other patient is still alive but with minor liver dysfunction.