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Transcatheter Arterial Embolization for Spontaneous Hepatic Rupture Associated with HELLP Syndrome: A Case Report

Background: Spontaneous hepatic rupture associated with the syndrome characterized by hemolysis, elevated liver enzymes, and a low platelet count (HELLP syndrome) is a rare and life-threatening condition, and only a few cases regarding the management of this condition through transcatheter arterial...

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Autores principales: Nam, In-Chul, Won, Jung-Ho, Kim, Sungbin, Bae, Kyungsoo, Jeon, Kyung-Nyeo, Moon, Jin-Il, Cho, Eun, Park, Ji-Eun, Jang, Jae-Yool, Park, Sung-Eun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8538371/
https://www.ncbi.nlm.nih.gov/pubmed/34684092
http://dx.doi.org/10.3390/medicina57101055
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author Nam, In-Chul
Won, Jung-Ho
Kim, Sungbin
Bae, Kyungsoo
Jeon, Kyung-Nyeo
Moon, Jin-Il
Cho, Eun
Park, Ji-Eun
Jang, Jae-Yool
Park, Sung-Eun
author_facet Nam, In-Chul
Won, Jung-Ho
Kim, Sungbin
Bae, Kyungsoo
Jeon, Kyung-Nyeo
Moon, Jin-Il
Cho, Eun
Park, Ji-Eun
Jang, Jae-Yool
Park, Sung-Eun
author_sort Nam, In-Chul
collection PubMed
description Background: Spontaneous hepatic rupture associated with the syndrome characterized by hemolysis, elevated liver enzymes, and a low platelet count (HELLP syndrome) is a rare and life-threatening condition, and only a few cases regarding the management of this condition through transcatheter arterial embolization (TAE) have been previously reported. Case summary: Herein, we report a case involving a 35-year-old pregnant woman who presented at 28 weeks of gestation with right upper quadrant pain, hypotension, and elevated levels of liver enzymes. Transabdominal ultrasound revealed fetal death. She required an emergency cesarean section, and hepatic rupture was identified after the fetus had been delivered. Hepatic packing and TAE were performed. The postprocedural course was uneventful, and the patient was discharged 14 days after she had been admitted to our hospital. Conclusions: Spontaneous hepatic rupture associated with HELLP syndrome is a very serious condition that requires prompt and decisive management. The high maternal and fetal mortality rates associated with this condition can be reduced through early accurate diagnosis and adequate management. The findings in the reported case indicate that TAE may be an attractive alternative to surgery for the management of spontaneous hepatic rupture associated with HELLP syndrome.
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spelling pubmed-85383712021-10-24 Transcatheter Arterial Embolization for Spontaneous Hepatic Rupture Associated with HELLP Syndrome: A Case Report Nam, In-Chul Won, Jung-Ho Kim, Sungbin Bae, Kyungsoo Jeon, Kyung-Nyeo Moon, Jin-Il Cho, Eun Park, Ji-Eun Jang, Jae-Yool Park, Sung-Eun Medicina (Kaunas) Case Report Background: Spontaneous hepatic rupture associated with the syndrome characterized by hemolysis, elevated liver enzymes, and a low platelet count (HELLP syndrome) is a rare and life-threatening condition, and only a few cases regarding the management of this condition through transcatheter arterial embolization (TAE) have been previously reported. Case summary: Herein, we report a case involving a 35-year-old pregnant woman who presented at 28 weeks of gestation with right upper quadrant pain, hypotension, and elevated levels of liver enzymes. Transabdominal ultrasound revealed fetal death. She required an emergency cesarean section, and hepatic rupture was identified after the fetus had been delivered. Hepatic packing and TAE were performed. The postprocedural course was uneventful, and the patient was discharged 14 days after she had been admitted to our hospital. Conclusions: Spontaneous hepatic rupture associated with HELLP syndrome is a very serious condition that requires prompt and decisive management. The high maternal and fetal mortality rates associated with this condition can be reduced through early accurate diagnosis and adequate management. The findings in the reported case indicate that TAE may be an attractive alternative to surgery for the management of spontaneous hepatic rupture associated with HELLP syndrome. MDPI 2021-10-02 /pmc/articles/PMC8538371/ /pubmed/34684092 http://dx.doi.org/10.3390/medicina57101055 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Nam, In-Chul
Won, Jung-Ho
Kim, Sungbin
Bae, Kyungsoo
Jeon, Kyung-Nyeo
Moon, Jin-Il
Cho, Eun
Park, Ji-Eun
Jang, Jae-Yool
Park, Sung-Eun
Transcatheter Arterial Embolization for Spontaneous Hepatic Rupture Associated with HELLP Syndrome: A Case Report
title Transcatheter Arterial Embolization for Spontaneous Hepatic Rupture Associated with HELLP Syndrome: A Case Report
title_full Transcatheter Arterial Embolization for Spontaneous Hepatic Rupture Associated with HELLP Syndrome: A Case Report
title_fullStr Transcatheter Arterial Embolization for Spontaneous Hepatic Rupture Associated with HELLP Syndrome: A Case Report
title_full_unstemmed Transcatheter Arterial Embolization for Spontaneous Hepatic Rupture Associated with HELLP Syndrome: A Case Report
title_short Transcatheter Arterial Embolization for Spontaneous Hepatic Rupture Associated with HELLP Syndrome: A Case Report
title_sort transcatheter arterial embolization for spontaneous hepatic rupture associated with hellp syndrome: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8538371/
https://www.ncbi.nlm.nih.gov/pubmed/34684092
http://dx.doi.org/10.3390/medicina57101055
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