Servicios Personalizados
Revista
Articulo
Indicadores
- Citado por SciELO
- Accesos
Links relacionados
- Citado por Google
- Similares en SciELO
- Similares en Google
Compartir
Revista Ciencias de la Salud
versión impresa ISSN 1692-7273versión On-line ISSN 2145-4507
Resumen
YBASETA-MEDINA, Jorge; HUAMAN-CORONADO, Raúl y YBASETA-SOTO, Marjorie. HELLP Syndrome and Hepatic Rupture in a Twin Pregnancy: A Case Report. Rev. Cienc. Salud [online]. 2023, vol.21, n.1, e012. Epub 02-Nov-2023. ISSN 1692-7273. https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.11963.
Introduction:
HELLP syndrome and hepatic rupture are rare complications, especially in the case of twin pregnancy. Here, we present a case of ruptured hepatic subcapsular hematoma due to HELLP syndrome that caused complication in a twin pregnancy. This case required emergency Cesarean section and management of hypo-volemia hepatic packing.
Case presentation:
A 41-year-old female pregnant with twins (35 weeks) came to the emergency room for uterine contractions and absence of fetal movements. Due to severe bradycardia in both fetuses, emergency Cesarean section was performed. When the abdominal cavity was opened, hemoperitoneum was found, and both fetuses were extracted alive. A median, supra-, and infraumbilical exploratory laparotomy (post Cesarean section) was performed, and right lobe hepatic rupture was found. Subsequently, hepatic packing with compression and temporary abdominal closure was performed. Hypovolemic shock and preeclampsia was continuously managed in the intensive care unit. At 21 days, the patient was discharged in good condition.
Conclusion:
HELLP syndrome causes serious complications, such as hepatic rupture, which may lead to maternal and perinatal mortality if not correctly treated early in a multidisciplinary manner.
Palabras clave : Pregnancy; hellp syndrome; twin pregnancy; preeclampsia; Peru; bradycardia; emergency department; hospital; liver.