Subcapsular liver hematoma as a complication of HELLP syndrome


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Abstract

Background: HELLP syndrome is a complication of severe preeclampsia, in which there may be subcapsular hematoma and rupture of the liver. The approaches to managing and treating this formidable and rare complication are ambiguous. The issues of drug prevention and treatment of thromboembolic events in the presence of extensive hematoma remain difficult. Case report: The paper describes a clinical case of conservative management of a puerpera with a large subcapsular liver hematoma and inferior vena cava thrombosis with a favorable course in a multidisciplinary hospital. Conclusion: The accumulation of clinical experience and the development of treatment policy will undoubtedly help avoid critical conditions and fatal outcomes.

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About the authors

Udar F. Fatkullin

Kazan State Medical University, Ministry of Health of the Russian Federation

Email: fatkullin@yandex.ru
Dr. Med. Sci., Professor, Head of the Department of Obstetrics and Gynecology named after V.S. Gruzdev

Lucia D. Egamberdieva

Kazan State Medical University, Ministry of Health of the Russian Federation; Republican Clinical Hospital, Ministry of Health of the Republic of Tatarstan

PhD, Associate Professor of the Department of Obstetrics and Gynecology named after V.S. Gruzdev; doctor of the Gynaecological Department

Larisa S. Fatkullina

Kazan State Medical University, Ministry of Health of the Russian Federation; Republican Clinical Hospital, Ministry of Health of the Republic of Tatarstan

Email: sukhobokova07@rambler.ru
Ph.D., Associate Professor of the Department of Obstetrics and Gynecology named after V.S. Gruzdev; Chief

Roman G. Shmakov

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of the Russian Federation

Email: r_shmakov@oparina.ru
Dr. Med. Sci., Professor of the RAS, Director of the Institute of Obstetrics

Aleksey V. Pyregov

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of the Russian Federation

Email: a_pyregov@oparina4.ru
Dr. Med. Sci., Associate Professor, Head of the Department of Anesthesiology and Resuscitation

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