Hepatic hematoma in HELLP syndrome

Objective: The purpose of this study was to review our experience with patients having hepatic rupture or hematoma caused by HELLP syndrome.Materials and Methods: Descriptive simple cross sectional retrospective study. A review was performed of medical records of all patients admitted at our Hospita...

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Autores principales: Alassia, Maida, Buteler, María Marta, Caffaratti, Cecilia, Bollatti, Hector, Caratti, Maria Marta
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2011
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/21530
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Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
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spelling I10-R327-article-215302024-08-27T18:23:37Z Hepatic hematoma in HELLP syndrome Hematoma hepático en el síndrome HELLP Alassia, Maida Buteler, María Marta Caffaratti, Cecilia Bollatti, Hector Caratti, Maria Marta Objective: The purpose of this study was to review our experience with patients having hepatic rupture or hematoma caused by HELLP syndrome.Materials and Methods: Descriptive simple cross sectional retrospective study. A review was performed of medical records of all patients admitted at our Hospital´s intensive care unit having HELLP syndrome during pregnancy or puerperium between February 1999 and February 2010. Patients complicated with hematoma or hepatic rupture were included. Results: Three cases were identified. The average maternal age was 35 years old and the average gestational age at delivery was 33 weeks. The most frequent signs and symptoms were sudden onset of abdominal pain and shock. A distinctive laboratory finding was anemia. Surgical treatment was omental patching in one of the patients and it was conservative with drainages in the other two cases. Maternal and perinatal mortality were 33 %.Conclusion: Based on our experience and the literature review, we can conclude that hepatic hematoma and rupture associated with HELLP syndrome represent a life-threatening complication in which early detection is very important to achieve a proper diagnosis and treatment. Patients should be treated by a multidisciplinary team in reference centers being carefully followed with adequate hemodynamic support and regular images to improve the survival maternal rate.  Objetivos: Describir nuestra experiencia en pacientes que presentaron Síndrome HELLP complicado con hematoma o rotura hepática. Material y métodos: Estudio descriptivo, transversal y retrospectivo. Se revisaron las historias clínicas de pacientes que ingresaron a Terapia Intensiva de nuestro hospital, con diagnóstico de síndrome HELLP durante el embarazo y/o puerperio, en el período comprendido entre febrero de 1999 y febrero de 2010. De ellas se seleccionaron las que presentaron hematoma o ruptura hepática (REH). Resultados: Se identificaron 3 casos de síndrome HELLP con hematoma y/o ruptura hepática. La edad promedio materna fue 35 años; la edad gestacional media al momento del parto fue 33 semanas. Los síntomas y signos más frecuentes fueron dolor abdominal de inicio súbito y shock Hipovolémico. Como hallazgo distintivo de laboratorio se detectó anemia. El tratamiento quirúrgico fue la realización de packing en una paciente y la colocación de drenajes con conducta expectante en las otras. La mortalidad materna y perinatal fue del 33%.Conclusión: Basados en nuestra experiencia y la bibliografía consultada, podemos concluir que el hematoma y la ruptura hepática asociados a síndrome HELLP constituyen una complicación grave donde el reconocimiento temprano es la base para un diagnóstico y tratamiento oportuno. El abordaje debe ser multidisciplinario, en centros de alta complejidad, con adecuado soporte hemodinámico y seguimiento imagenológico para mejorar la sobrevida de estas pacientes Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2011-09-02 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/21530 10.31053/1853.0605.v68.n3.21530 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 68 No. 3 (2011); 119-124 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 68 Núm. 3 (2011); 119-124 Revista da Faculdade de Ciências Médicas de Córdoba; v. 68 n. 3 (2011); 119-124 1853-0605 0014-6722 10.31053/1853.0605.v68.n3 spa https://revistas.unc.edu.ar/index.php/med/article/view/21530/21253 Derechos de autor 2011 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Español
format Artículo revista
author Alassia, Maida
Buteler, María Marta
Caffaratti, Cecilia
Bollatti, Hector
Caratti, Maria Marta
spellingShingle Alassia, Maida
Buteler, María Marta
Caffaratti, Cecilia
Bollatti, Hector
Caratti, Maria Marta
Hepatic hematoma in HELLP syndrome
author_facet Alassia, Maida
Buteler, María Marta
Caffaratti, Cecilia
Bollatti, Hector
Caratti, Maria Marta
author_sort Alassia, Maida
title Hepatic hematoma in HELLP syndrome
title_short Hepatic hematoma in HELLP syndrome
title_full Hepatic hematoma in HELLP syndrome
title_fullStr Hepatic hematoma in HELLP syndrome
title_full_unstemmed Hepatic hematoma in HELLP syndrome
title_sort hepatic hematoma in hellp syndrome
description Objective: The purpose of this study was to review our experience with patients having hepatic rupture or hematoma caused by HELLP syndrome.Materials and Methods: Descriptive simple cross sectional retrospective study. A review was performed of medical records of all patients admitted at our Hospital´s intensive care unit having HELLP syndrome during pregnancy or puerperium between February 1999 and February 2010. Patients complicated with hematoma or hepatic rupture were included. Results: Three cases were identified. The average maternal age was 35 years old and the average gestational age at delivery was 33 weeks. The most frequent signs and symptoms were sudden onset of abdominal pain and shock. A distinctive laboratory finding was anemia. Surgical treatment was omental patching in one of the patients and it was conservative with drainages in the other two cases. Maternal and perinatal mortality were 33 %.Conclusion: Based on our experience and the literature review, we can conclude that hepatic hematoma and rupture associated with HELLP syndrome represent a life-threatening complication in which early detection is very important to achieve a proper diagnosis and treatment. Patients should be treated by a multidisciplinary team in reference centers being carefully followed with adequate hemodynamic support and regular images to improve the survival maternal rate. 
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2011
url https://revistas.unc.edu.ar/index.php/med/article/view/21530
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AT carattimariamarta hepatichematomainhellpsyndrome
AT alassiamaida hematomahepaticoenelsindromehellp
AT butelermariamarta hematomahepaticoenelsindromehellp
AT caffaratticecilia hematomahepaticoenelsindromehellp
AT bollattihector hematomahepaticoenelsindromehellp
AT carattimariamarta hematomahepaticoenelsindromehellp
first_indexed 2024-09-03T21:00:16Z
last_indexed 2024-09-03T21:00:16Z
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