Le Bouëdec G, Raymond F, Fondrinier E, Canis M, Chipponi J, Bruhat M A
Polyclinique Gynécologie-Obstétrique, Médecine de la Reproduction, Clermont-Ferrand.
Rev Fr Gynecol Obstet. 1990 Jun;85(6):407-11.
The authors report a case of spontaneous rupture of the liver during pregnancy which occurred in a 31-year old multiparous woman with pre-eclampsia. In the literature, this rare event is associated with both maternal and fetal high mortality rates. Histopathological studies have shown periportal parenchymal lesions, larger sinusoidal fibrin deposits and hemorrhagic infarctions. Our case was successfully managed with termination of pregnancy by cesarean section without surgical procedure toward subcapsular hematoma. Long term follow-up using liver scans is needed.
作者报告了一例妊娠期间肝脏自发性破裂的病例，该病例发生在一名患有先兆子痫的31岁经产妇身上。在文献中，这种罕见事件与母婴高死亡率相关。组织病理学研究显示门周实质病变、较大的窦状纤维蛋白沉积和出血性梗死。我们的病例通过剖宫产终止妊娠成功处理，未对包膜下血肿进行手术。需要使用肝脏扫描进行长期随访。
