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- Title
Transcatheter Arterial Embolization for Spontaneous Hepatic Rupture Associated with HELLP Syndrome: A Case Report.
- Authors
In-Chul Nam; Jung-Ho Won; Sungbin Kim; Kyungsoo Bae; Kyung-Nyeo Jeon; Jin-Il Moon; Eun Cho; Ji-Eun Park; Jae-Yool Jang; Sung-Eun Park
- Abstract
Background: Spontaneous hepatic rupture associated with the syndrome characterized by hemolysis, elevated liver enzymes, and a low platelet count (HELLP syndrome) is a rare and life-threatening condition, and only a few cases regarding the management of this condition through transcatheter arterial embolization (TAE) have been previously reported. Case summary: Herein, we report a case involving a 35-year-old pregnant woman who presented at 28 weeks of gestation with right upper quadrant pain, hypotension, and elevated levels of liver enzymes. Transabdominal ultrasound revealed fetal death. She required an emergency cesarean section, and hepatic rupture was identified after the fetus had been delivered. Hepatic packing and TAE were performed. The postprocedural course was uneventful, and the patient was discharged 14 days after she had been admitted to our hospital. Conclusions: Spontaneous hepatic rupture associated with HELLP syndrome is a very serious condition that requires prompt and decisive management. The high maternal and fetal mortality rates associated with this condition can be reduced through early accurate diagnosis and adequate management. The findings in the reported case indicate that TAE may be an attractive alternative to surgery for the management of spontaneous hepatic rupture associated with HELLP syndrome.
- Subjects
CHEMOEMBOLIZATION; PREGNANT women; HOSPITALS; ULTRASONIC imaging; CESAREAN section
- Publication
Medicina (1010660X), 2021, Vol 57, Issue 10, p1
- ISSN
1010-660X
- Publication type
Article
- DOI
10.3390/medicina57101055