S El Youssoufi1, A Nsiri, S Salmi, M Miguil. 1. Service d'Anesthésie-Réanimation Obstétricale, CHU Ibn-Rochd, Casablanca, Maroc. ismail.elyoussoufi@caramail.com
Abstract
OBJECTIVES: Subcapsular liver hematoma (SLH) is a serious complication of the preeclampsia and HELLP syndrom. We report eight cases, and we'll precise circumstances of occurrence of this complication, its management and its prognosis. MATERIALS AND METHODS: Between January 2000 and December 2005, we enrolled eight patients with SLH cases in the intensive care unit of maternity's Ibn Rochd university hospital in Casablanca, Morocco. RESULTS: The patients are 22 to 41-years-old; six are multiparous, without prenatal care. All are preeclamptic. We diagnosed the SLH in prepartum stage in one case, in operating room in five cases and in post partum stage in two cases. We established blood pressure and homeostasis disturbances, the surgeon made packing for six patients with hepatic artery ligature in two cases. In two other patients, we did only medical care. We noted five deaths, four after hematoma rupture. CONCLUSION: These results were compared with literature, we need to look for this complication in all-severe preeclampsia with HELLP syndrome, and treat all haemostatic disorders.
OBJECTIVES: Subcapsular liver hematoma (SLH) is a serious complication of the preeclampsia and HELLP syndrom. We report eight cases, and we'll precise circumstances of occurrence of this complication, its management and its prognosis. MATERIALS AND METHODS: Between January 2000 and December 2005, we enrolled eight patients with SLH cases in the intensive care unit of maternity's Ibn Rochd university hospital in Casablanca, Morocco. RESULTS: The patients are 22 to 41-years-old; six are multiparous, without prenatal care. All are preeclamptic. We diagnosed the SLH in prepartum stage in one case, in operating room in five cases and in post partum stage in two cases. We established blood pressure and homeostasis disturbances, the surgeon made packing for six patients with hepatic artery ligature in two cases. In two other patients, we did only medical care. We noted five deaths, four after hematoma rupture. CONCLUSION: These results were compared with literature, we need to look for this complication in all-severe preeclampsia with HELLP syndrome, and treat all haemostatic disorders.
Authors: Albert Ndzengue; Fadi Hammoudeh; Pierre Brutus; Ofem Ajah; Roland Purcell; Joseph Leadon; Richard B Rafal; Simon Balmir; Danilo A Enriquez; Gerald L Posner; Eric A Jaffe; Pradeep Chandra Journal: Case Rep Gastroenterol Date: 2011-04-13