Perioperative challenges following management of spontaneous hepatic rupture in a parturient with severe pre-eclampsia – A case report

Spontaneous hepatic rupture in pregnancy (SHRP) is a rare but often fatal condition associated with pre-eclampsia or HELLP (haemolysis, elevated liver enzymes, low platelets) syndrome. SHRP is linked to significant maternal and perinatal morbidity and mortality, and maternal complications can extend...

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Autores principales: Singh, Keevan, Carvalho, Randall, Tinne, Allan, Bahall, Vishal, De Barry, Lance, Sankar, Steven
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10033934/
https://www.ncbi.nlm.nih.gov/pubmed/36968549
http://dx.doi.org/10.1016/j.crwh.2023.e00499
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author Singh, Keevan
Carvalho, Randall
Tinne, Allan
Bahall, Vishal
De Barry, Lance
Sankar, Steven
author_facet Singh, Keevan
Carvalho, Randall
Tinne, Allan
Bahall, Vishal
De Barry, Lance
Sankar, Steven
author_sort Singh, Keevan
collection PubMed
description Spontaneous hepatic rupture in pregnancy (SHRP) is a rare but often fatal condition associated with pre-eclampsia or HELLP (haemolysis, elevated liver enzymes, low platelets) syndrome. SHRP is linked to significant maternal and perinatal morbidity and mortality, and maternal complications can extend past the initial intraoperative period. This case report describes the challenging perioperative course of a 35-year-old woman with SHRP. She underwent five laparotomies during a prolonged and complicated course in the intensive care unit. Despite these challenges, maternal and fetal outcomes were good. This case report serves to highlight key perioperative multidisciplinary issues in the care of these patients.
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spelling pubmed-100339342023-03-24 Perioperative challenges following management of spontaneous hepatic rupture in a parturient with severe pre-eclampsia – A case report Singh, Keevan Carvalho, Randall Tinne, Allan Bahall, Vishal De Barry, Lance Sankar, Steven Case Rep Womens Health Article Spontaneous hepatic rupture in pregnancy (SHRP) is a rare but often fatal condition associated with pre-eclampsia or HELLP (haemolysis, elevated liver enzymes, low platelets) syndrome. SHRP is linked to significant maternal and perinatal morbidity and mortality, and maternal complications can extend past the initial intraoperative period. This case report describes the challenging perioperative course of a 35-year-old woman with SHRP. She underwent five laparotomies during a prolonged and complicated course in the intensive care unit. Despite these challenges, maternal and fetal outcomes were good. This case report serves to highlight key perioperative multidisciplinary issues in the care of these patients. Elsevier 2023-03-15 /pmc/articles/PMC10033934/ /pubmed/36968549 http://dx.doi.org/10.1016/j.crwh.2023.e00499 Text en © 2023 The Authors. Published by Elsevier B.V. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Singh, Keevan
Carvalho, Randall
Tinne, Allan
Bahall, Vishal
De Barry, Lance
Sankar, Steven
Perioperative challenges following management of spontaneous hepatic rupture in a parturient with severe pre-eclampsia – A case report
title Perioperative challenges following management of spontaneous hepatic rupture in a parturient with severe pre-eclampsia – A case report
title_full Perioperative challenges following management of spontaneous hepatic rupture in a parturient with severe pre-eclampsia – A case report
title_fullStr Perioperative challenges following management of spontaneous hepatic rupture in a parturient with severe pre-eclampsia – A case report
title_full_unstemmed Perioperative challenges following management of spontaneous hepatic rupture in a parturient with severe pre-eclampsia – A case report
title_short Perioperative challenges following management of spontaneous hepatic rupture in a parturient with severe pre-eclampsia – A case report
title_sort perioperative challenges following management of spontaneous hepatic rupture in a parturient with severe pre-eclampsia – a case report
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10033934/
https://www.ncbi.nlm.nih.gov/pubmed/36968549
http://dx.doi.org/10.1016/j.crwh.2023.e00499
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