Loevinger E H, Vujic I, Lee W M, Anderson M C
Obstet Gynecol. 1985 Feb;65(2):281-4.
Spontaneous rupture of the liver associated with pregnancy is a rare and very serious complication, usually occurring in association with eclampsia or preeclampsia. Survival has generally been dependent on early recognition of characteristic signs and symptoms and prompt surgical intervention. Even with surgery, maternal mortality approaches 40% and fetal mortality is even higher. The diagnosis can usually be firmly established based on the clinical and radiographic findings presented in this article. Reported is a patient with hepatic rupture successfully treated by transcatheter embolization of the hepatic artery. It is the authors' belief that if such a patient is clinically stable enough to undergo angiography, then transcatheter embolotherapy is a reasonable alternative to surgery.
妊娠相关的肝脏自发性破裂是一种罕见且非常严重的并发症，通常与子痫或先兆子痫相关。生存通常取决于对特征性体征和症状的早期识别以及及时的手术干预。即使进行手术，孕产妇死亡率也接近40%，胎儿死亡率甚至更高。通常可根据本文中呈现的临床和影像学表现来明确诊断。本文报道了一例通过肝动脉导管栓塞术成功治疗肝破裂的患者。作者认为，如果此类患者临床足够稳定能够接受血管造影，那么经导管栓塞治疗是一种合理的手术替代方案。
