Hematoma subcapsular hepático roto en síndrome HELLP

Background: Ruptured subscapular liver hematoma in context of HELLP syndrome is a rare complication with high mortality. Clinical presentation is nonspecific: epigastric pain, right upper quadrant pain and shoulder pain, should however provide high index of suspicion. Termination of pregnancy is th...

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Autores principales:	Henríquez-Villaseca,María Paz, Catalán-Barahona,Alejandra, Lattus-Olmos,José, Vargas-Valdebenito,Karina, Silva-Ruz,Solange
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2018
Materias:	HELLP Syndrome Pregnancy Complications Rupture, Spontaneous
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000600753
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spelling	oai:scielo:S0034-988720180006007532018-08-24Hematoma subcapsular hepático roto en síndrome HELLPHenríquez-Villaseca,María PazCatalán-Barahona,AlejandraLattus-Olmos,JoséVargas-Valdebenito,KarinaSilva-Ruz,Solange HELLP Syndrome Pregnancy Complications Rupture, Spontaneous Background: Ruptured subscapular liver hematoma in context of HELLP syndrome is a rare complication with high mortality. Clinical presentation is nonspecific: epigastric pain, right upper quadrant pain and shoulder pain, should however provide high index of suspicion. Termination of pregnancy is the only definitive treatment with a beneficial effect on the mother and the fetus. According to the hemodynamic status of the patient, treatment can be conservative through hepatic artery embolization, or surgical management, via contained packing of the bleeding area. Aim: To report seven cases of ruptured subscapular liver hematomas treated in a period of 13 years. Material and Methods: Review of medical records of patients discharged with the diagnosis from 2002 to 2015. Results: We identified seven women aged 30 to 44 years, for a total of 86,858 live births. At presentation, mean gestational age was 36 weeks. Five patients reported epigastric pain and three shoulder pain. All patients met the criteria for HELPP syndrome. All patients were operated on, and packing of the bleeding zone was carried out in six. One patient died. Two newborns died. Conclusions: The features of these patients may help in the management of this uncommon but severe condition.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.146 n.6 20182018-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000600753es10.4067/s0034-98872018000600753
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	HELLP Syndrome Pregnancy Complications Rupture, Spontaneous
spellingShingle	HELLP Syndrome Pregnancy Complications Rupture, Spontaneous Henríquez-Villaseca,María Paz Catalán-Barahona,Alejandra Lattus-Olmos,José Vargas-Valdebenito,Karina Silva-Ruz,Solange Hematoma subcapsular hepático roto en síndrome HELLP
description	Background: Ruptured subscapular liver hematoma in context of HELLP syndrome is a rare complication with high mortality. Clinical presentation is nonspecific: epigastric pain, right upper quadrant pain and shoulder pain, should however provide high index of suspicion. Termination of pregnancy is the only definitive treatment with a beneficial effect on the mother and the fetus. According to the hemodynamic status of the patient, treatment can be conservative through hepatic artery embolization, or surgical management, via contained packing of the bleeding area. Aim: To report seven cases of ruptured subscapular liver hematomas treated in a period of 13 years. Material and Methods: Review of medical records of patients discharged with the diagnosis from 2002 to 2015. Results: We identified seven women aged 30 to 44 years, for a total of 86,858 live births. At presentation, mean gestational age was 36 weeks. Five patients reported epigastric pain and three shoulder pain. All patients met the criteria for HELPP syndrome. All patients were operated on, and packing of the bleeding zone was carried out in six. One patient died. Two newborns died. Conclusions: The features of these patients may help in the management of this uncommon but severe condition.
author	Henríquez-Villaseca,María Paz Catalán-Barahona,Alejandra Lattus-Olmos,José Vargas-Valdebenito,Karina Silva-Ruz,Solange
author_facet	Henríquez-Villaseca,María Paz Catalán-Barahona,Alejandra Lattus-Olmos,José Vargas-Valdebenito,Karina Silva-Ruz,Solange
author_sort	Henríquez-Villaseca,María Paz
title	Hematoma subcapsular hepático roto en síndrome HELLP
title_short	Hematoma subcapsular hepático roto en síndrome HELLP
title_full	Hematoma subcapsular hepático roto en síndrome HELLP
title_fullStr	Hematoma subcapsular hepático roto en síndrome HELLP
title_full_unstemmed	Hematoma subcapsular hepático roto en síndrome HELLP
title_sort	hematoma subcapsular hepático roto en síndrome hellp
publisher	Sociedad Médica de Santiago
publishDate	2018
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000600753
work_keys_str_mv	AT henriquezvillasecamariapaz hematomasubcapsularhepaticorotoensindromehellp AT catalanbarahonaalejandra hematomasubcapsularhepaticorotoensindromehellp AT lattusolmosjose hematomasubcapsularhepaticorotoensindromehellp AT vargasvaldebenitokarina hematomasubcapsularhepaticorotoensindromehellp AT silvaruzsolange hematomasubcapsularhepaticorotoensindromehellp
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Hematoma subcapsular hepático roto en síndrome HELLP

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