Hernández HS, Ruvalcaba RMÁ, Muñoz NI, Flores CJ, Pérez ÁCE

Language: Spanish
References: 7
Page: 19-21
PDF size: 199.09 Kb.

ABSTRACT

A case is presented of a serious surgical emergency with a high risk of death for the mother, in which we managed to obtain a satisfactory result, for which a timely and multidisciplinary approach was required. This is very important because in Mexico preeclampsia-eclampsia is common. This case is about a female 29-year-old patient having her second child, to whom a caesarean section was performed in a second level hospital for presenting preeclampsia with severity data and HELLP syndrome. During surgery, we observed hepatic rupture comprising three segments (IV, VI, and VII) with disruption of the liver parenchyma by 75%. A first surgery was performed and she was sent to a tertiary care medical center where two more operations were performed and the patient was discharged to be followed later in consultation.

REFERENCES

1. Castro-González A, Moreno-Conejo R. Preeclampsia y ruptura hepática. Informe de tres casos. Rev Med IMSS. 2002; 40: 505-510.

2. Perucca E, Domínguez C, González D, et al. Rotura hepática espontánea en síndrome de HELLP. Rev Chil Obstet Ginecol. 2003; 68: 7-12.

3. Velasco-Murillo V, Navarrete-Hernández E. Mortalidad materna por ruptura hepática: experiencia de 15 años en el IMSS. Rev Med IMSS. 2001; 39: 459-464.

4. Navarro-Vargas JR. Síndrome de HELLP y coagulopatía. Rev Venezolana de Anestesiología. 2002; 7: 148-151.

5. Detección y tratamiento inicial de las emergencias obstétricas. México: Secretaría de Salud; elaboración 2010 y actualización 2011.

6. Cerda-García P, Sánchez-Mecatl M, García-Graullera R, et al. Síndrome de HELLP y ruptura hepática espontánea. Rev Asoc Mex Med Crit Ter Int. 2003; 17: 138-143.

7. Henny CH, et al. Spontaneous rupture of the Glisson’s capsule during pregnancy: an acute surgical emergency. Neth J Surg. 1992; 34: 72-75.