Liver rupture associate with chronic hypertension and overadded preeclampsia

Authors

  • Grisell Argilagos Casasayas Hospital Ginecoobstétrico Docente "Tamara Bunke Bider", Universidad de Ciencias Médicas, Santiago de Cuba
  • Jorge Félix Arañó Piedra Hospital Ginecoobstétrico Docente "Tamara Bunke Bider", Universidad de Ciencias Médicas, Santiago de Cuba
  • Danilo Nápoles Méndez Hospital General Docente “Dr. Juan Bruno Zayas Alfonso”, Universidad de Ciencias Médicas, Santiago de Cuba

Keywords:

liver rupture, preeclampsia, pregnancy.

Abstract

The case report of a 29 year-old patient is described with a pregnancy of 24 weeks and a history of chronic hypertension, so that she went to the emergency Department of "Tamara Bunke Bider" Teaching Gynecological and Obstetrical Hospital in Santiago de Cuba, due to her high values, migraine, epigastralgia and vomits. A overadded preeclampsia was diagnosed and, because of the worsening signs, it was decided to make a laparotomy. A hemoperitoneo and a rupture in hepatic right lobe were found, thus, a hepatic tamponing was carried out which was then retired. The patient required intensive cares in "Saturnino Lora Torres" Teaching Clinical-Surgical Provincial Hospital and the evaluation of a multidisciplinary team due to the emergence of complications: acute respiratory failure syndrome, abdominal wall abscess, hepatic abscess and presumed ileofemoral thrombosis. Her clinical course was favorable and she was discharged alive.

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References

1. Vera E, Pérez A, Lattus J, Barrera V, Campaña G, Kattan MJ, et al. Rotura hepática asociada a preeclampsia severa y síndrome HELLP, manejo y tratamiento con taponamiento intraabdominal temporal de compresas. Rev Chil Obstet Ginecol. 2004 [citado 16/04/2018]; 69(4): 319-27. Disponible en: https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0717-75262004000400011
2. Escobar Vidarte MF, Montes D, Pérez A, Loaiza-Osorio S, Nieto Calbache JA. Hepatic rupture associated with preeclampsia, report of three cases and literature review. J Matern Fetal Neonatal Med. 2018 Mar 27:1-7.
3. Marroquín PA, Cabrera S, Gutiérrez L, Híjar A. Rotura hepática en paciente con preeclampsia severa y síndrome de HELLP. Rev Per Ginecol Obstet. 2010 [citado 16/04/2018]; 56:310-2. Disponible en: http://sisbib.unmsm.edu.pe/bvrevistas/ginecologia/vol_56n4/pdf/a12v56n4.pdf
4. Pilco P, McCormac L, Pérez D, Clavien PD. Hematoma hepático subcapsular roto con síndrome de HELLP. Revisión de la literatura y reporte de un caso con manejo conservador. Rev Gastroenterol Perú. 2006 [citado 16/04/2018]; 26: 207-10. Disponible en: http://sisbib.unmsm.edu.pe/bvrevistas/gastro/vol26n2/pdf/a11.pdf
5. Suárez González JA, Corrales Gutiérrez A, Gutiérrez Machado M. Hematoma subcapsular hepático roto en el curso de un síndrome de HELLP. Rev Cubana Obstet Ginecol. 2017 [citado 16/04/2018]; 43(1). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-600X2017000100012
6. Juárez Azpilcueta A., Motta Martínez E, Montaño Uzcanga A. Ruptura hepática como complicación de enfermedad hipertensiva del embarazo y síndrome de HELLP. Gac Méd Méx. 2003 [citado 16/04/2018]; 139(3): 276-80. Disponible en: http://www.medigraphic.com/pdfs/gaceta/gm-2003/gm033k.pdf
7. Hunter SK, Martin M, Benda JA, Zlatnik FJ. Liver transplant after massive spontaneous hepatic rupture in pregnancy complicated with preeclampsia. Obstet Gynecol. 1995; 85(5 Pt. 2): 819-22.
8. González Espinosa Y, Ávila Esquivel JF. Morbimortalidad materna asociada a rotura hepática o hematoma subcapsular por preeclampsia-eclampsia y síndrome de HELLP. Arch Inv Mat Inf. 2010 [citado 16/04/2018]; 11(2): 51-5. Disponible en: http://www.medigraphic.com/pdfs/imi/imi-2010/imi102a.pdf
9. Vigil-De Gracia P, Ortega Paz L. Pre-eclampsia/eclampsia and hepatic rupture. Int J Gynaecol Obstet. 2012; 118(3): 186-9.
10. Millán CA, Forero JC. Right hepatectomy after spontaneous hepatic rupture in a patient with preeclampsia: A case report. Int J Surg Case Rep. 2017 [citado 16/04/2018]; 39: 250-2. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5577397/pdf/main.pdf

Published

2018-12-11

How to Cite

1.
Argilagos Casasayas G, Arañó Piedra JF, Nápoles Méndez D. Liver rupture associate with chronic hypertension and overadded preeclampsia. MEDISAN [Internet]. 2018 Dec. 11 [cited 2025 Jun. 3];22(9). Available from: https://medisan.sld.cu/index.php/san/article/view/2383

Issue

Section

Case Reports