Harti A, Louardi H, Benaguida M, Abi F, Ait Allah M, Aderdour M
Service d'Anesthésie-Réanimation, CHU Ibn Rochd, Casablanca.
Rev Fr Gynecol Obstet. 1990 Feb;85(2):127-30.
The authors report three cases of subcapsular liver hematomas occurring after delivery and diagnosed by ultrasonography (1 case), and exploratory laparotomy (2 cases). These three cases compared with the data from the literature, illustrate the conditions of occurrence and the clinical signs of subcapsular liver hematomas during pregnancy or in the post-partum period. The frequency of this complication is most likely underestimated, since benign forms remain latent and the severe forms, responsible for sudden death, eludes the diagnosis in the absence of anatomical confirmation.
作者报告了3例产后发生的肝包膜下血肿病例,其中1例经超声检查确诊,2例经剖腹探查确诊。这3例病例与文献数据相比较,说明了妊娠期间或产后肝包膜下血肿的发生情况及临床体征。这种并发症的发生率很可能被低估了,因为良性形式隐匿,而导致猝死的严重形式在缺乏解剖学证实的情况下难以诊断。