PROMOTING ACCESS TO AFRICAN RESEARCH

South African Journal of Surgery

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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.




http://dx.doi.org/10.17159/2078-5151/2018/v56n3a2587
AJOL African Journals Online