Subcapsular liver hematoma as a complication of HELLP syndrome


Citar

Texto integral

Acesso aberto Acesso aberto
Acesso é fechado Acesso está concedido
Acesso é fechado Acesso é pago ou somente para assinantes

Resumo

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.

Texto integral

Acesso é fechado

Sobre autores

Udar 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 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 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 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 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

Bibliografia

  1. Андреев А.Л., Герасимова А.В., Калугина А.С., Карева И.В., Морозов А.Б., Трофимова Т.Н. Успешное лечение роженицы с HELLP-синдромом, субкапсулярной гематомой печени, внутрибрюшным кровотечением, тромбоцитопенией, анемией. В. кн.: Материалы VIII Всероссийского образовательного конгресса «Анестезия и реанимация в акушерстве и неонатологии». Москва, 23-25 ноября 2015г. М.; 2015: 111-5.
  2. Венцковский М., Запорожан В.Н., Сенчук А.Я., Скачко Б.Г. Гестозы. Руководство для врачей. М.: МИА; 2005.
  3. Ионкин Д.А., Икрамов Р.З., Вишневский В.А., Кабанова Т.И., Жаворонкова О.И., Коваленко З.А. Спонтанная подкапсульная гематома печени на фоне HELLP. Анналы хирургической гепатологии. 2011; 16(3): 106-9.
  4. Baxter J.K., Weinstein L. HELLP syndrome: the state of the art. Obstet. Gynecol. Surv. 2004; 59(12): 838-45.
  5. Кирсанова Т.В., Виноградова М.А., Колыванова А.И., Шмаков Р.Г. HELLP-синдром: клинико-лабораторные особенности и дисбаланс плацентарных факторов ангиогенеза. Акушерство и гинекология. 2018; 7: 46-56.
  6. Макацария А.Д., Бицадзе В.О., Хизроева Д.Х. HELLP-синдром. Акушерство, гинекология и репродукция. 2014; 8(2): 61-8.
  7. Pliego Perez A.R., Zavala Soto J.O., Rodriguez Ballesteros R., Martinez Herrera Fde J., Porras Jimenez A. Spontaneous hepatic rupture of pregnancy. A report of four cases and medical literature review. Ginecol. Obstet. Mex. 2006; 74(4): 224-31.
  8. Barton J.R., Riely С.А., Adamec Т.А., Shanklin D.R., Khoury A.D., Sibai B.M. Hepatic histopathologicсondition does not correlate with laboratory abnormalities in HELLP syndrome (hemolysis, elevated liver enzymes, and low platelet count. Am. J. Obstet. Gynecol. 1992; 167(6): 1538-43. https://dx.doi.org/10.1016/0002-9378(92)91735-s.
  9. Kelly J., Ryan D.J., O’Brien N., Kirwan W.O. Second trimester hepatic rupture in a 35 year old nulliparous woman with HELLP syndrome: a case report. World J. Emerg. Surg. 2009; 4: 23. https://dx.doi.org/10.1186/1749-7922-4-23.
  10. Vidarte M.F.E., Montes D., Perez A., Loaiza-Osorio S., Calvache A.J.N. Hepatic rupture associated with preeclampsia, report of three cases and literature review. J. Matern. Fetal Neonatal Med. 2019; 32(16): 2767-73. https://dx.doi.org/10.1080/14767058.2018.1446209.

Arquivos suplementares

Arquivos suplementares
Ação
1. JATS XML
Baixar

Este site utiliza cookies

Ao continuar usando nosso site, você concorda com o procedimento de cookies que mantêm o site funcionando normalmente.

Informação sobre cookies