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Spontaneous hepatic rupture in a normotensive monoamniotic twin pregnancy: case report and review of the literature.
- Source :
-
Gynecologic & Obstetric Investigation . Jul2010, Vol. 70 Issue 1, p69-72. 4p. 1 Black and White Photograph, 2 Charts. - Publication Year :
- 2010
-
Abstract
- <bold>Background: </bold>Spontaneous liver rupture during pregnancy is extremely rare, and often associated with hypertensive disorders. Maternal outcomes are poor and morbidity is high. <bold>Case: </bold>A 27-year-old women (G1P0), pregnant with monochorionic-monoamniotic twins, developed extensive abdominal pain while she was electively admitted at 32 weeks for fetal pulmonary maturation. Diagnosed with preterm labor, a caesarean section was performed. Postoperatively, our patient deteriorated and a second laparotomy revealed an extensive liver rupture. There was no evidence of hypertensive disorders or hepatic tumors. After perihepatic packing and embolization, our patient required long-term treatment in our intensive care unit. She survived, and both mother and children are healthy after 6 months. <bold>Conclusion: </bold>Despite being rare, spontaneous liver rupture in absence of hypertensive disorders during pregnancy is associated with high maternal morbidity and mortality. Adequate treatment requires a multidisciplinary approach. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 03787346
- Volume :
- 70
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Gynecologic & Obstetric Investigation
- Publication Type :
- Academic Journal
- Accession number :
- 52403173
- Full Text :
- https://doi.org/10.1159/000290063