Hepatic rupture in a patient with severe pre-eclampsia and Hellp syndrome

Descripción del Articulo

Spontaneous hepatic rupture is a rare complication with high mortality associated to Hellp syndrome and severe pre-eclampsia. Hepatic rupture incidence is 1 in 45 000 to 1 in 225 000 pregnancies. We present institutional experience in managing hepatic rupture associated to severe pre-eclampsia and H...

Descripción completa

Detalles Bibliográficos
Autores: Marroquín, Paul, Cabrera, Santiago, Gutierrez, Lorena, Hijar, Adelita
Formato: artículo
Fecha de Publicación:2015
Institución:Sociedad Peruana de Obstetricia y Ginecología
Repositorio:Revista Peruana de Ginecología y Obstetricia
Lenguaje:español
OAI Identifier:oai:ojs.pkp.sfu.ca:article/217
Enlace del recurso:http://51.222.106.123/index.php/RPGO/article/view/217
Nivel de acceso:acceso abierto
id REVSPOG_83375bd9c4720a261d4215afafb20931
oai_identifier_str oai:ojs.pkp.sfu.ca:article/217
network_acronym_str REVSPOG
network_name_str Revista Peruana de Ginecología y Obstetricia
repository_id_str .
spelling Hepatic rupture in a patient with severe pre-eclampsia and Hellp syndromeROTURA HEPÁTICA EN PACIENTE CON PREECLAMPSIA SEVERA Y SÍNDROME HELLPMarroquín, PaulCabrera, SantiagoGutierrez, LorenaHijar, AdelitaSpontaneous hepatic rupture is a rare complication with high mortality associated to Hellp syndrome and severe pre-eclampsia. Hepatic rupture incidence is 1 in 45 000 to 1 in 225 000 pregnancies. We present institutional experience in managing hepatic rupture associated to severe pre-eclampsia and Hellp syndrome in a 29 year-old woman with 39 weeks gestation admitted to emergency by uterine contractions. After three hours she presented epigastralgia, right arm pain and low platelets that led to emergency cesarean section with Apgar 8 and 9 newborn. Hemoperitoneum, discontinuity of Glisson’s capsule and hepatic hematoma were found. Hepatic tamponage was performed and removed the fourth day with successful evolution.La rotura hepática espontánea es una complicación rara y de alta mortalidad, asociado al síndrome Hellp y preeclampsia severa. La incidencia de rotura hepática varía de 1 en 45 000 a 1 en 225 000 de todos los embarazos. Se relata la experiencia institucional de manejo y tratamiento de la rotura hepática asociada a preeclampsia severa y síndrome Hellp, en una mujer de 29 años, con gestación de 39 semanas, que acudió a la emergencia por dinámica uterina. Luego de 3 horas presentó epigastralgia, dolor en brazo derecho y plaquetopenia, por lo que se decidió culminar el embarazo por cesárea, con recién nacido Ápgar 8 y 9; se evidenció hemoperitoneo y solución de continuidad de la cápsula de Glisson y hematoma hepático. Se realizó taponamiento hepático. Al cuarto día se reintervino para el retiro de gasas, con éxito y evolución favorable.Sociedad Peruana de Obstetricia y Ginecología2015-04-21info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttp://51.222.106.123/index.php/RPGO/article/view/217The Peruvian Journal of Gynecology and Obstetrics ; Vol. 56 No. 4 (2010); 310-312Revista Peruana de Ginecología y Obstetricia; Vol. 56 Núm. 4 (2010); 310-3122304-51322304-5124reponame:Revista Peruana de Ginecología y Obstetriciainstname:Sociedad Peruana de Obstetricia y Ginecologíainstacron:SPOGspahttp://51.222.106.123/index.php/RPGO/article/view/217/196info:eu-repo/semantics/openAccessoai:ojs.pkp.sfu.ca:article/2172015-08-04T23:29:32Z
dc.title.none.fl_str_mv Hepatic rupture in a patient with severe pre-eclampsia and Hellp syndrome
ROTURA HEPÁTICA EN PACIENTE CON PREECLAMPSIA SEVERA Y SÍNDROME HELLP
title Hepatic rupture in a patient with severe pre-eclampsia and Hellp syndrome
spellingShingle Hepatic rupture in a patient with severe pre-eclampsia and Hellp syndrome
Marroquín, Paul
title_short Hepatic rupture in a patient with severe pre-eclampsia and Hellp syndrome
title_full Hepatic rupture in a patient with severe pre-eclampsia and Hellp syndrome
title_fullStr Hepatic rupture in a patient with severe pre-eclampsia and Hellp syndrome
title_full_unstemmed Hepatic rupture in a patient with severe pre-eclampsia and Hellp syndrome
title_sort Hepatic rupture in a patient with severe pre-eclampsia and Hellp syndrome
dc.creator.none.fl_str_mv Marroquín, Paul
Cabrera, Santiago
Gutierrez, Lorena
Hijar, Adelita
author Marroquín, Paul
author_facet Marroquín, Paul
Cabrera, Santiago
Gutierrez, Lorena
Hijar, Adelita
author_role author
author2 Cabrera, Santiago
Gutierrez, Lorena
Hijar, Adelita
author2_role author
author
author
description Spontaneous hepatic rupture is a rare complication with high mortality associated to Hellp syndrome and severe pre-eclampsia. Hepatic rupture incidence is 1 in 45 000 to 1 in 225 000 pregnancies. We present institutional experience in managing hepatic rupture associated to severe pre-eclampsia and Hellp syndrome in a 29 year-old woman with 39 weeks gestation admitted to emergency by uterine contractions. After three hours she presented epigastralgia, right arm pain and low platelets that led to emergency cesarean section with Apgar 8 and 9 newborn. Hemoperitoneum, discontinuity of Glisson’s capsule and hepatic hematoma were found. Hepatic tamponage was performed and removed the fourth day with successful evolution.
publishDate 2015
dc.date.none.fl_str_mv 2015-04-21
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://51.222.106.123/index.php/RPGO/article/view/217
url http://51.222.106.123/index.php/RPGO/article/view/217
dc.language.none.fl_str_mv spa
language spa
dc.relation.none.fl_str_mv http://51.222.106.123/index.php/RPGO/article/view/217/196
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Sociedad Peruana de Obstetricia y Ginecología
publisher.none.fl_str_mv Sociedad Peruana de Obstetricia y Ginecología
dc.source.none.fl_str_mv The Peruvian Journal of Gynecology and Obstetrics ; Vol. 56 No. 4 (2010); 310-312
Revista Peruana de Ginecología y Obstetricia; Vol. 56 Núm. 4 (2010); 310-312
2304-5132
2304-5124
reponame:Revista Peruana de Ginecología y Obstetricia
instname:Sociedad Peruana de Obstetricia y Ginecología
instacron:SPOG
instname_str Sociedad Peruana de Obstetricia y Ginecología
instacron_str SPOG
institution SPOG
reponame_str Revista Peruana de Ginecología y Obstetricia
collection Revista Peruana de Ginecología y Obstetricia
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1846516624627073024
score 13.425424
Hepatic rupture in a patient with severe pre-eclampsia and Hellp syndrome
Nota importante:
La información contenida en este registro es de entera responsabilidad de la institución que gestiona el repositorio institucional donde esta contenido este documento o set de datos. El CONCYTEC no se hace responsable por los contenidos (publicaciones y/o datos) accesibles a través del Repositorio Nacional Digital de Ciencia, Tecnología e Innovación de Acceso Abierto (ALICIA).

Ejemplares Similares