2009
DOI: 10.1016/j.jsurg.2009.04.001
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Diagnosis and Surgical Management of Spontaneous Hepatic Rupture Associated with HELLP Syndrome

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Cited by 43 publications
(49 citation statements)
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“…Spontaneous rupture of subcapsular hematoma and liver parenchyma occurs in 1 in 67,000 births and 1 in 2,000 pregnant women with preeclampsia, eclampsia and HELLP syndrome [8]. In the 1990-2010 years 180 such cases were described in European literature.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Spontaneous rupture of subcapsular hematoma and liver parenchyma occurs in 1 in 67,000 births and 1 in 2,000 pregnant women with preeclampsia, eclampsia and HELLP syndrome [8]. In the 1990-2010 years 180 such cases were described in European literature.…”
Section: Discussionmentioning
confidence: 99%
“…The most common localization of hematoma and bleeding from a liver is the right lobe [8][9][10]. It is observed in 77% of the cases.…”
Section: Discussionmentioning
confidence: 99%
“…Le signe clinique le plus constant (90 % des cas) est une douleur persistante de l'épigastre et/ou de l'hypochondre droit typiquement « en barre », plus ou moins associée à une irradiation scapulaire [9]. Cette douleur est due à la distension du parenchyme hépatique et de la capsule de Glisson (qui peut aller jusqu'à sa rupture) suite à une stase du flux sanguin au niveau des sinusoïdes hépatiques [10].…”
Section: Discussionunclassified
“…On retrouve alors fréquemment une défense de l'hypochondre droit. Au stade de la rupture de la capsule de Glisson, des signes de choc hémorragique (hypotension, tachycardie, oligurie) sont associés à un abdomen aigu chirurgical [9]. La présence de nausées, de vomissements [9] peut faire évoquer à tort une pathologie biliaire ou gastrointestinale et favoriser ainsi un retard dans la prise en charge [11].…”
Section: Discussionunclassified
“…Acute respiratory distress syndrome develops in 33% of patients [7]. Severe uterine bleeding may be seen in 33% of patients after a cesarean section.…”
mentioning
confidence: 99%