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J Matern Fetal Med. 1999 Jan-Feb;8(1):32-5.

Liver rupture postpartum associated with preeclampsia and HELLP syndrome.

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Department of Perinatology, Sophia Ziekenhuis Zwolle, The Netherlands.


Liver rupture is a rare perinatal complication with high maternal mortality. In a multiparous woman with preeclampsia and Hemolysis, Elevated Liver enzymes, and Low Platelet count (HELLP) syndrome, liver rupture was suspected 10 h after a cesarean section. Laparotomy revealed liver rupture which was treated by perihepatic packing. Eventually, the mother was discharged with her baby 88 days after admission. Clinical symptoms, maternal hemodynamics by Swan-Ganz monitoring, and laboratory findings were not predictive until the emergency situation and the consecutive complications required multidisciplinary management.

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