Hepatic rupture as the initial manifestation of HELLP syndrome

  • L Thiessen
  • J Shaw

Abstract

Summary: A 34-year-old normotensive nulliparous woman at 38 weeks’ gestation developed sudden onset of severe right upper quadrant pain, fetal distress, hypotension, and a generalised seizure. At urgent Caesarean section, a ruptured subcapsular liver haematoma was found. A healthy infant was delivered. Haemostasis was obtained with a Pringle manoeuver and liver packing. Subsequent bloodwork diagnosed HELLP syndrome. Both the patient and the infant made a full recovery. This case demonstrates the effectiveness of prompt application of these surgical manoeuvres.

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eISSN: 2078-5151
print ISSN: 0038-2361