Liver Bleeding Due to HELLP Syndrome Treated With Embolization and Liver Transplantation: A Case Report and Review of the Literature

Background: Liver bleeding secondary to haemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome is uncommon, but a life-threatening peripartum condition that needs a prompt multidisciplinary approach.Case Presentation: In this study, we presented a case of 28-year-old pregnant wo...

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Autores principales: Valentina Messina, Daniele Dondossola, Maria Chiara Paleari, Gianluca Fornoni, Daniela Tubiolo, Patrizia Vergani, Roberto Rona, Giorgio Rossi
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Lenguaje:EN
Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/68089f7747304b3a8b65a1a4ad8293ae
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spelling oai:doaj.org-article:68089f7747304b3a8b65a1a4ad8293ae2021-11-22T07:24:53ZLiver Bleeding Due to HELLP Syndrome Treated With Embolization and Liver Transplantation: A Case Report and Review of the Literature2296-875X10.3389/fsurg.2021.774702https://doaj.org/article/68089f7747304b3a8b65a1a4ad8293ae2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fsurg.2021.774702/fullhttps://doaj.org/toc/2296-875XBackground: Liver bleeding secondary to haemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome is uncommon, but a life-threatening peripartum condition that needs a prompt multidisciplinary approach.Case Presentation: In this study, we presented a case of 28-year-old pregnant woman, who was presented to the obstetrics department with signs of preeclampsia and foetal growth restriction. An emergency caesarean section was performed, and the patient developed a HELLP syndrome complicated by spontaneous liver rupture. After radiological and surgical procedures, liver failure became evident and liver transplantation was successfully performed. The patient and her daughter are now alive.Conclusions: Despite the rarity of this disease, liver complications due to HELLP syndrome must be properly diagnosed and treated given the gravity of the possible evolution in young women. After diagnosis, the patients must be treated in specialised centres with gynaecological, liver surgery, and transplant skills.Valentina MessinaDaniele DondossolaDaniele DondossolaMaria Chiara PaleariGianluca FornoniDaniela TubioloPatrizia VerganiRoberto RonaGiorgio RossiGiorgio RossiFrontiers Media S.A.articleHELLP syndromeliver transplantationliver embolizationdamage control surgeryrare diseaseSurgeryRD1-811ENFrontiers in Surgery, Vol 8 (2021)
institution DOAJ
collection DOAJ
language EN
topic HELLP syndrome
liver transplantation
liver embolization
damage control surgery
rare disease
Surgery
RD1-811
spellingShingle HELLP syndrome
liver transplantation
liver embolization
damage control surgery
rare disease
Surgery
RD1-811
Valentina Messina
Daniele Dondossola
Daniele Dondossola
Maria Chiara Paleari
Gianluca Fornoni
Daniela Tubiolo
Patrizia Vergani
Roberto Rona
Giorgio Rossi
Giorgio Rossi
Liver Bleeding Due to HELLP Syndrome Treated With Embolization and Liver Transplantation: A Case Report and Review of the Literature
description Background: Liver bleeding secondary to haemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome is uncommon, but a life-threatening peripartum condition that needs a prompt multidisciplinary approach.Case Presentation: In this study, we presented a case of 28-year-old pregnant woman, who was presented to the obstetrics department with signs of preeclampsia and foetal growth restriction. An emergency caesarean section was performed, and the patient developed a HELLP syndrome complicated by spontaneous liver rupture. After radiological and surgical procedures, liver failure became evident and liver transplantation was successfully performed. The patient and her daughter are now alive.Conclusions: Despite the rarity of this disease, liver complications due to HELLP syndrome must be properly diagnosed and treated given the gravity of the possible evolution in young women. After diagnosis, the patients must be treated in specialised centres with gynaecological, liver surgery, and transplant skills.
format article
author Valentina Messina
Daniele Dondossola
Daniele Dondossola
Maria Chiara Paleari
Gianluca Fornoni
Daniela Tubiolo
Patrizia Vergani
Roberto Rona
Giorgio Rossi
Giorgio Rossi
author_facet Valentina Messina
Daniele Dondossola
Daniele Dondossola
Maria Chiara Paleari
Gianluca Fornoni
Daniela Tubiolo
Patrizia Vergani
Roberto Rona
Giorgio Rossi
Giorgio Rossi
author_sort Valentina Messina
title Liver Bleeding Due to HELLP Syndrome Treated With Embolization and Liver Transplantation: A Case Report and Review of the Literature
title_short Liver Bleeding Due to HELLP Syndrome Treated With Embolization and Liver Transplantation: A Case Report and Review of the Literature
title_full Liver Bleeding Due to HELLP Syndrome Treated With Embolization and Liver Transplantation: A Case Report and Review of the Literature
title_fullStr Liver Bleeding Due to HELLP Syndrome Treated With Embolization and Liver Transplantation: A Case Report and Review of the Literature
title_full_unstemmed Liver Bleeding Due to HELLP Syndrome Treated With Embolization and Liver Transplantation: A Case Report and Review of the Literature
title_sort liver bleeding due to hellp syndrome treated with embolization and liver transplantation: a case report and review of the literature
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/68089f7747304b3a8b65a1a4ad8293ae
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