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Open Access Rotura hepática espontânea na síndrome HELLP HELLP syndrome and spontaneous liver rupture

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INTRODUÇÃO: A síndrome HELLP, condição com sinais de hemólise, elevação de enzimas hepáticas e baixa contagem de plaquetas, é situação obstétrica que pode apresentar severas complicações para a mãe, incluindo hematoma subcapsular com risco de ruptura para a cavidade peritoneal. RELATO DO CASO: Um caso de ruptura espontânea do fígado secundária a síndrome HELLP é apresentado. A paciente foi submetida à laparotomia exploradora devido a choque hemorrágico. CONCLUSÃO: A síndrome HELLP é condição patológica perigosa com risco de morte materno-fetal. Tratamento cirúrgico deve ser indicado quando existe associação à ruptura hepática.
BACKGROUND: HELLP syndrome, a condition with signs of hemolysis, elevated liver enzymes and low platelet count, is an obstetric condition that can present with severe complications to the mother including subcapsular hematoma with risk to peritoneal rupture. CASE REPORT: A case of spontaneous liver rupture secondary to HELLP syndrome is presented. The patient was submitted to exploratory laparotomy due to hemorrhagic shock. CONCLUSION: HELLP syndrome is a dangerous disease with death risk to mother and fetus. The surgical treatment can be indicated when there is an association to hepatic rupture.
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Document Type: Research Article

Publication date: January 1, 2009

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