Cirugia General y Digestiva, Hospital Universitario Ramón y Cajal, España.
Cirugía General y del Aparato Digestivo, Hospital Universitario Ramón y Cajal.
Rev Esp Enferm Dig. 2019 Mar;111(3):250-251. doi: 10.17235/reed.2018.5906/2018.
Spontaneous liver rupture is an uncommon and life-threatening condition often associated with high mortality rate. The most common causes are preeclampsia and HELLP syndrome during pregnancy, liver tumours and overdosing of anticoagulant therapy, however, hepatic rupture in the absence of underlying pathology is an extremely rare occurrence. Treatment can include observation, embolization, hepatic artery ligation, hepatic lobectomy, hematoma evacuation and packing, and even liver transplantation has been described.
自发性肝破裂是一种罕见且危及生命的疾病，常伴有高死亡率。最常见的原因是妊娠期间的子痫前期和 HELLP 综合征、肝肿瘤和抗凝治疗过量，然而，在没有潜在病理学的情况下发生肝破裂是极其罕见的。治疗方法包括观察、栓塞、肝动脉结扎、肝叶切除术、血肿清除和填塞，甚至肝移植也有描述。
