Dessole Salvatore, Capobianco Giampiero, Virdis Paolo, Rubattu Giovanni, Cosmi Erich, Porcu Alberto
Department of Pharmacology, Gynecology and Obstetrics, University of Sassari, Viale San Pietro 12, Sassari 07100, Italy.
Arch Gynecol Obstet. 2007 Aug;276(2):189-92. doi: 10.1007/s00404-006-0318-9.
Spontaneous hepatic rupture in pregnancy is rare and carries a high maternal and perinatal mortality.
We describe a case of hepatic rupture that occurred after emergency caesarean section performed in a pregnant woman at 38 weeks of gestation with Hemolysis, Elevated Liver enzymes and Low Platelet count (HELLP) syndrome. The patient was discharged after 30 days of intensive therapy and four explorative laparotomies. Today, 2 years after delivery, the patient and her baby are doing well.
Hepatic rupture in pregnancy is a rare event that may complicate HELLP syndrome. In this case, we were able to achieve an excellent clinical outcome by the performance of an immediately explorative laparotomy.
妊娠期自发性肝破裂罕见，孕产妇和围产儿死亡率高。
我们描述了一例在妊娠38周行急诊剖宫产的孕妇发生肝破裂的病例，该孕妇患有溶血、肝酶升高和血小板减少（HELLP）综合征。经过30天的强化治疗和四次剖腹探查术后，患者出院。如今，分娩后2年，患者及其婴儿情况良好。
妊娠期肝破裂是一种罕见事件，可能使HELLP综合征复杂化。在本病例中，通过立即进行剖腹探查术，我们取得了良好的临床效果。
