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Liver Bleeding Due to HELLP Syndrome Treated With Embolization and Liver Transplantation: A Case Report and Review of the Literature
Background: Liver bleeding secondary to haemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome is uncommon, but a life-threatening peripartum condition that needs a prompt multidisciplinary approach. Case Presentation: In this study, we presented a case of 28-year-old pregnant w...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8646087/ https://www.ncbi.nlm.nih.gov/pubmed/34881288 http://dx.doi.org/10.3389/fsurg.2021.774702 |
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author | Messina, Valentina Dondossola, Daniele Paleari, Maria Chiara Fornoni, Gianluca Tubiolo, Daniela Vergani, Patrizia Rona, Roberto Rossi, Giorgio |
author_facet | Messina, Valentina Dondossola, Daniele Paleari, Maria Chiara Fornoni, Gianluca Tubiolo, Daniela Vergani, Patrizia Rona, Roberto Rossi, Giorgio |
author_sort | Messina, Valentina |
collection | PubMed |
description | Background: Liver bleeding secondary to haemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome is uncommon, but a life-threatening peripartum condition that needs a prompt multidisciplinary approach. Case Presentation: In this study, we presented a case of 28-year-old pregnant woman, who was presented to the obstetrics department with signs of preeclampsia and foetal growth restriction. An emergency caesarean section was performed, and the patient developed a HELLP syndrome complicated by spontaneous liver rupture. After radiological and surgical procedures, liver failure became evident and liver transplantation was successfully performed. The patient and her daughter are now alive. Conclusions: Despite the rarity of this disease, liver complications due to HELLP syndrome must be properly diagnosed and treated given the gravity of the possible evolution in young women. After diagnosis, the patients must be treated in specialised centres with gynaecological, liver surgery, and transplant skills. |
format | Online Article Text |
id | pubmed-8646087 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-86460872021-12-07 Liver Bleeding Due to HELLP Syndrome Treated With Embolization and Liver Transplantation: A Case Report and Review of the Literature Messina, Valentina Dondossola, Daniele Paleari, Maria Chiara Fornoni, Gianluca Tubiolo, Daniela Vergani, Patrizia Rona, Roberto Rossi, Giorgio Front Surg Surgery Background: Liver bleeding secondary to haemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome is uncommon, but a life-threatening peripartum condition that needs a prompt multidisciplinary approach. Case Presentation: In this study, we presented a case of 28-year-old pregnant woman, who was presented to the obstetrics department with signs of preeclampsia and foetal growth restriction. An emergency caesarean section was performed, and the patient developed a HELLP syndrome complicated by spontaneous liver rupture. After radiological and surgical procedures, liver failure became evident and liver transplantation was successfully performed. The patient and her daughter are now alive. Conclusions: Despite the rarity of this disease, liver complications due to HELLP syndrome must be properly diagnosed and treated given the gravity of the possible evolution in young women. After diagnosis, the patients must be treated in specialised centres with gynaecological, liver surgery, and transplant skills. Frontiers Media S.A. 2021-11-22 /pmc/articles/PMC8646087/ /pubmed/34881288 http://dx.doi.org/10.3389/fsurg.2021.774702 Text en Copyright © 2021 Messina, Dondossola, Paleari, Fornoni, Tubiolo, Vergani, Rona and Rossi. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Surgery Messina, Valentina Dondossola, Daniele Paleari, Maria Chiara Fornoni, Gianluca Tubiolo, Daniela Vergani, Patrizia Rona, Roberto Rossi, Giorgio Liver Bleeding Due to HELLP Syndrome Treated With Embolization and Liver Transplantation: A Case Report and Review of the Literature |
title | Liver Bleeding Due to HELLP Syndrome Treated With Embolization and Liver Transplantation: A Case Report and Review of the Literature |
title_full | Liver Bleeding Due to HELLP Syndrome Treated With Embolization and Liver Transplantation: A Case Report and Review of the Literature |
title_fullStr | Liver Bleeding Due to HELLP Syndrome Treated With Embolization and Liver Transplantation: A Case Report and Review of the Literature |
title_full_unstemmed | Liver Bleeding Due to HELLP Syndrome Treated With Embolization and Liver Transplantation: A Case Report and Review of the Literature |
title_short | Liver Bleeding Due to HELLP Syndrome Treated With Embolization and Liver Transplantation: A Case Report and Review of the Literature |
title_sort | liver bleeding due to hellp syndrome treated with embolization and liver transplantation: a case report and review of the literature |
topic | Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8646087/ https://www.ncbi.nlm.nih.gov/pubmed/34881288 http://dx.doi.org/10.3389/fsurg.2021.774702 |
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