Document Detail


Surviving hepatic rupture in pregnancy--a literature review with an illustrative case report.
MedLine Citation:
PMID:  12745549     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Spontaneous hepatic rupture in pregnancy is a rare condition associated with significant maternal and perinatal mortality. Patients developing pre-eclampsia and especially HELLP syndrome require close monitoring for prompt diagnosis of hepatic rupture. However, the presenting symptoms and signs, e.g. epigastric pain, shoulder pain, nausea and vomiting, are common. Thus a high index of suspicion and early evaluation with imaging is vitally important. The important lesson to be learnt is that a Pfannenstiel incision does not allow for adequate assessment of the liver. If hepatic rupture is suspected a second upper abdominal incision should be performed. Improved survival can be achieved through early recognition and a multidisciplinary approach.
Authors:
Fiona A Marsh; S J Kaufmann; K Bhabra
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology     Volume:  23     ISSN:  0144-3615     ISO Abbreviation:  J Obstet Gynaecol     Publication Date:  2003 Mar 
Date Detail:
Created Date:  2003-05-14     Completed Date:  2003-08-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8309140     Medline TA:  J Obstet Gynaecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  109-13     Citation Subset:  IM    
Affiliation:
Huddersfield Royal Infirmary, Huddersfield, UK. fionamarsh@totalserve.co.uk
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Liver Diseases / diagnosis*,  mortality*,  therapy
Pregnancy
Pregnancy Complications / diagnosis*,  mortality*,  therapy
Rupture, Spontaneous / diagnosis*,  mortality*,  therapy
Survival Rate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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