Servicio de Ginecología y Obstetricia, Hospital de Alta Especialidad Dr. Gustavo A. Rovirosa Pérez, Villahermosa, Tabasco, México.
Cir Cir. 2022;90(2):256-261. doi: 10.24875/CIRU.20000928.
Hemorrhagic liver rupture is a rare and deadly complication. The pathogenesis is unknown. This situation forces the multidisciplinary team, the immediate termination of pregnancy, the treatment and management of the patient in an intensive care unit (ICU). We report the results of two patients with spontaneous rupture of the liver during pregnancy and HELLP (hemolysis, elevated liver enzymes, low platelet count) syndrome, asymptomatic, during cesarean section, with management in ICU, poor evolution without adequate response; one died and the other leaves hospital. Liver rupture requires high suspicion and timely, aggressive multidisciplinary management in all cases and surgical intervention in those who develop liver ruptura, to improve survival.
肝破裂出血是一种罕见且致命的并发症。其发病机制尚不清楚。这种情况迫使多学科团队立即终止妊娠，并在重症监护病房（ICU）对患者进行治疗和管理。我们报告了两例妊娠期间自发性肝破裂和 HELLP（溶血、肝酶升高、血小板计数低）综合征患者的结果，在剖宫产时无症状，在 ICU 中进行管理，病情恶化，没有适当的反应；一例死亡，另一例出院。肝破裂需要高度怀疑，并在所有情况下及时、积极地进行多学科管理，对于发生肝破裂的患者进行手术干预，以提高生存率。
