Abstract

BELTRAN, C.M.; PEREZ-JORGE, P.J.  and  MARTINEZ, M.C.. Postpartum complications of HELLP syndrome: postmortem diagnosis. Cuad. med. forense [online]. 2013, vol.19, n.3-4, pp.123-126. ISSN 1988-611X.  https://dx.doi.org/10.4321/S1135-76062013000200010.

HELLP syndrome is a complication that affects approximately 0,1-0,6% of pregnancies involving preeclampsia. The association of this syndrome with a liver rupture is a rare and potentially threatening complication, with an incidence of less than 2% although some authors describe it up to a 9%. It has been described that up to 80% of patients with a spontaneous hepatic subcapsular hematoma during pregnancy, is associated to severe preeclampsia or HELLP syndrome. If it is complicated with liver rupture, maternal and neonatal mortality rates increase drastically to 50% and 80%, respectively. We report a case of a 38 year-old primipara, who suffered a spontaneous rupture of liver haematoma, secondary to clinically undiagnosed HELLP syndrome.

Keywords : Spontaneous liver rupture; Sudden death; Pregnancy; HELLP syndrome; Postpartum.

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