Subcapsular liver hematoma as a complication of HELLP syndrome
Background: HELLP syndrome is a complication of severe preeclampsia, in which there may be subcapsular hematoma and rupture of the liver. The approaches to managing and treating this formidable and rare complication are ambiguous. The issues of drug prevention and treatment of thromboembolic events in the presence of extensive hematoma remain difficult.Fatkullin I.F., Egamberdieva L.D., Fatkullina L.S., Shmakov R.G., Pyregov A.V.
Case report: The paper describes a clinical case of conservative management of a puerpera with a large subcapsular liver hematoma and inferior vena cava thrombosis with a favorable course in a multidisciplinary hospital.
Conclusion: The accumulation of clinical experience and the development of treatment policy will undoubtedly help avoid critical conditions and fatal outcomes.
Keywords
HELLP-syndrome
subcapsular liver hematoma
preeclampsia
inferior vena cava thrombus
References
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Received 01.09.2021
Accepted 29.10.2021
About the Authors
Ildar F. Fatkullin, Dr. Med. Sci., Professor, Head of the Department of Obstetrics and Gynecology named after V.S. Gruzdev, Kazan State Medical University,+7(960) 048-01-04, fatkullin@yandex.ru, 420012, Russia, Kazan, Butlerova str., 49.
Lucia D. Egamberdieva, PhD, Associate Professor of the Department of Obstetrics and Gynecology named after V.S. Gruzdev, Kazan State Medical University;
doctor of the Gynaecological Department, Republican Clinical Hospital, +7(904)765-22-62, lutsia1@yandex.ru, 420064, Russia, Kazan, Orenburg tract str., 138.
Larisa S. Fatkullina, Ph.D., Associate Professor of the Department of Obstetrics and Gynecology named after V.S. Gruzdev, Kazan State Medical University,
Chief of the Clinic of the Republican Clinical Hospital, +7(953)405-67-47, sukhobokova07@rambler.ru, 420012, Russia, Kazan, Butlerova str., 49.
Roman G. Shmakov, Dr. Med. Sci., Professor of the RAS, Director of the Institute of Obstetrics, V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia,
r_shmakov@oparina.ru, 117997, Russia, Moscow, Ac. Oparin str., 4.
Aleksey V. Pyregov, Dr. Med. Sci., Associate Professor, Head of the Department of Anesthesiology and Resuscitation, V.I. Kulakov NMRC for OG&P,
Ministry of Health of Russia, a_pyregov@oparina4.ru, 117997, Russia, Moscow, Ac. Oparin str., 4.
Corresponding author: Ildar F. Fatkullin, fatkullin@yandex.ru
Authors' contributions: Fatkullin I.F., Shmakov R.G. – concept and design of the investigation; Fatkullina L.S.,
Egamberdieva L.D. – material collection and processing; Egamberdieva L.D., Fatkullin I.F., Shmakov R.G. – writing the text; Pyregov A.V., Shmakov R.G. – editing.
Conflicts of interest: The authors declare that there are no conflicts of interest.
Funding: The investigation has not been sponsored.
Patient Consent to Publication: The patient provided informed consent for the publication of her data and associated images.
For citation: Fatkullin I.F., Egamberdieva L.D., Fatkullina L.S., Shmakov R.G., Pyregov A.V. Subcapsular liver hematoma as a complication of HELLP syndrome.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2021; 12: 178-181 (in Russian)
https://dx.doi.org/10.18565/aig.2021.12.178-181
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