Spontaneous liver hematoma and a hepatic rupture in HELLP syndrome

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dc.contributor.authorAldemir, M
dc.contributor.authorBaç, B
dc.contributor.authorTaçyildiz, I
dc.contributor.authorYagmur, Y
dc.contributor.authorKeles, C
dc.date.accessioned2024-04-24T16:01:56Z
dc.date.available2024-04-24T16:01:56Z
dc.date.issued2002
dc.departmentDicle Üniversitesien_US
dc.description.abstractSubcapsular liver hematomas and ruptures are unusual fatal complications of HELLP (hemolysis. elevated liver enzymes. and low platelets) syndrome (HS). We present two cases of a spontaneous rupture of subcapsular liver hematoma occurring in HS and review the literature on this subjects. One case demonstrated a secondary rupture of a subcapsulary liver hematoma due to HS in one patient and HS associated with preeclampsia in another. The defects were on the media] and lateral sectors of the left lobe in one patient and on the medial sector of the right lobe in the other patient. In case 1 deep mattress sutures and omentoplasty were performed. and in the other case a defective area was closed with an absorbable gelatin sponge with a hemostatic effect. In addition, the liver was compressed by abdominal towels. A high index of suspicion and immediate recognition are keys to proper diagnosis and management of affected patients. The multidisciplinary approach to the management of these patients led to a remark-able decrease in the mortality rates. Less aggressive treatment is preferable to aggressive intervention such as a hepatic resection in such patients with coagulopathy.en_US
dc.identifier.doi10.1007/s005950200074
dc.identifier.endpage453en_US
dc.identifier.issn0941-1291
dc.identifier.issue5en_US
dc.identifier.pmid12061700
dc.identifier.scopus2-s2.0-0036015804
dc.identifier.scopusqualityQ1
dc.identifier.startpage450en_US
dc.identifier.urihttps://doi.org/10.1007/s005950200074
dc.identifier.urihttps://hdl.handle.net/11468/14515
dc.identifier.volume32en_US
dc.identifier.wosWOS:000175844500016
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSpringer-Verlagen_US
dc.relation.ispartofSurgery Today
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHellp Syndromeen_US
dc.subjectSubcapsular Liver Hematomaen_US
dc.subjectRuptureen_US
dc.subjectPregnancyen_US
dc.titleSpontaneous liver hematoma and a hepatic rupture in HELLP syndromeen_US
dc.titleSpontaneous liver hematoma and a hepatic rupture in HELLP syndrome
dc.typeArticleen_US

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