In vivo diagnosis of massive hepatic infarction by computed tomography

Dammann, Hanns Gerd; Hagemann, J; Runge, M; Klöppel, G.

doi:10.1007/bf01308124

Cited by 14 publications

(5 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Six pregnancies had complete HELLP and PE ([15,19,22,23] and our case 1). One had incomplete HELLP and PE [18], nine had complete HELLP and no PE [7,14,16,17,19,21–23,26] and five pregnancies had incomplete HELLP and no PE ([10,11] and our cases 2, 3 and 4). Only 33% of patients had PE, and complete HELLP occurred in 71% of the pregnancies.…”

Section: Resultsmentioning

confidence: 94%

“…A review of the English language literature revealed additional 26 cases of hepatic infarction during pregnancies in 24 women [7–26]. The description herein includes both these 24 women and our four patients, a total of 30 pregnancies in 28 women.…”

Section: Resultsmentioning

confidence: 98%

“…Arterial thrombosis of both the large and small hepatic arteries are also seen [34–36]. The pathological findings in the patients reviewed, showed areas of necrosis, small vessels occlusive disease and inflammatory changes [8–12,14,17,26].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Hepatic infarctions during pregnancy are associated with the antiphospholipid syndrome and in addition with complete or incomplete HELLP syndrome

Pauzner¹,

Dulitzky²,

Carp³

et al. 2003

Journal of Thrombosis and Haemostasis

View full text Add to dashboard Cite

Summary. Antiphospholipid antibody syndrome (APS) is associated with adverse pregnancy outcomes and maternal complications including thrombotic events and early pre‐eclampsia. HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelets) represents a unique form in the spectrum of pre‐eclampsia. This report describes four patients with pregnancy‐associated hepatic infarctions. All four had APS and HELLP syndrome, which was complete in one patient and incomplete in three patients, with elevated liver enzymes in all, and either thrombocytopenia or hemolysis in two. In the literature, we found descriptions of an additional 24 patients who had 26 pregnancies with concomitant hepatic infarction. Of the total 28 patients, anticardiolipin antibodies (aCL) and/or lupus anticoagulant (LAC) were assessed in 16 patients, out of whom 15 were found to be positive. Hepatic infartction during pregnancy was associated almost always with APS, with HELLP (2/3 complete, 1/3 incomplete), and only in one‐third of the pregnancies with pre‐eclampsia (PE).

show abstract

Section: Resultsmentioning

confidence: 94%

Section: Resultsmentioning

confidence: 98%

See 1 more Smart Citation

Hepatic infarctions during pregnancy are associated with the antiphospholipid syndrome and in addition with complete or incomplete HELLP syndrome

Pauzner¹,

Dulitzky²,

Carp³

et al. 2003

Journal of Thrombosis and Haemostasis

View full text Add to dashboard Cite

show abstract

“…Several causes of puerperal ascites have been described in the literature, all with a clinical picture similar to that of the spontaneous rupture of the bladder. One case of postpartum hepatic artery thrombosis has been described by Damman et al in a patient presenting with fever, coma, ascites, ileus, jaundice and renal failure after delivery [18]. The impaired liver function suggested the hepatic origin of the clinical pictures.…”

Section: Discussionmentioning

confidence: 97%

Spontaneous Bladder Rupture after Normal Vaginal Delivery: Description of a Rare Complication and Systematic Review of the Literature

et al. 2021

View full text Add to dashboard Cite

Objective: To identify the possible causes of spontaneous bladder rupture after normal vaginal delivery and to propose a diagnostic and therapeutic algorithm. Material and Methods: MEDLINE (PubMed), Web of Science and Scopus databases were searched up to August 2020. Manuscripts considered were published from 1990 and only English articles were included. The research strategy adopted included the following terms: (bladder rupture) AND (spontaneous) AND (delivery). 103 studies were identified. Duplicates were found through an independent manual screening. Subsequently, two authors independently screened the full text of articles and excluded those not pertinent to the topic. Discrepancies were resolved by consensus. Finally, thirteen studies were included. Results: PRISMA guidelines were followed. For each study, fetal weight, catheterization during labor, parity, maternal age, occurrence time, previous abdominal or pelvic surgery, symptoms complained of, diagnostic methods, and treatment were considered. Median age was 26.0 (range 20–34 years); median presentation time was 3.0 days after delivery (range 1–20 days); and median newborn weight was 3227.0 g (range 2685–3600 g). Catheterization during labor was reported only in four of the thirteen cases (30.8%) identified. The symptoms most frequently complained of were abdominal pain and distension, fever, oliguria, haematuria and vomiting. Instrumental diagnosis was performed using X-rays in five cases and computerized tomography in six cases. Ultrasound was chosen in five cases as a first diagnostic tool. In two cases, cystography was performed. Treatment was always laparotomic repair of the visceral defect. Conclusion: Abdominal pain, increased creatinine and other signs of kidney failure on blood tests should lead to suspicion of this complication. Cystourethrography is regarded as a procedure of choice, but a first ultrasound approach is recommended. The main factor for the therapeutic choice is the intraperitoneal or extraperitoneal rupture of the bladder. Classical management for intraperitoneal rupture of the bladder is surgical repair and urinary rest.

show abstract

“…Sonographisch soll in der akuten Phase eines Leberinfarktes lediglich eine Organvergrößerung imponieren (3), so daß in diesem Stadium eine wesentliche diagnostische Bedeutung verneint wird. In der Remissionsphase können Leberinfarkte jedoch eindeutig erfaßt werden (3). In unserem Fall war der Literatur…”

Section: Fallberichtunclassified

Anämischer Leberinfarkt nach stumpfem Bauchtrauma

Teufel¹,

Reifferscheid²,

Niessen³

et al. 1985

Eur J Pediatr Surg

View full text Add to dashboard Cite

Particularly in childhood, ischaemias of the liver are very rare. This is due to numerous collateral vessels and a dual blood supply of the liver. We, therefore, report on a 2-year old boy who suffered from an anaemic infarction of the whole left lobe of the liver after a fall. The clinical course and findings, including histology, are described. After resection of the left lobe the boy was free of symptoms.

show abstract

In vivo diagnosis of massive hepatic infarction by computed tomography

Cited by 14 publications

References 14 publications

Hepatic infarctions during pregnancy are associated with the antiphospholipid syndrome and in addition with complete or incomplete HELLP syndrome

Hepatic infarctions during pregnancy are associated with the antiphospholipid syndrome and in addition with complete or incomplete HELLP syndrome

Spontaneous Bladder Rupture after Normal Vaginal Delivery: Description of a Rare Complication and Systematic Review of the Literature

Anämischer Leberinfarkt nach stumpfem Bauchtrauma

Contact Info

Product

Resources

About