hellp Syndrome and Hepatic Rupture in a Twin Pregnancy: A Case Report

DOI:  https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.11963

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Published: Mar 1, 2023
Issue: Vol. 21 No. 1 (2023): Revista Ciencias de la Salud
Section Case Study


Keywords: embarazo; síndrome el hellp; embarazo gemelar; preeclampsia; Perú; bradicardia; servicio de emergencia; hospital; hígado Pregnancy; hellp syndrome; twin pregnancy; preeclampsia; Peru; bradycardia; emergency department; hospital; liver. gravidez; síndrome hellp; gravidez gemelar; pré-eclâmpsia; Peru; bradicardia; serviço de emergência; hospital; fígado

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Authors

  JORGE YBASETA-MEDINA UNIVERSIDAD NACIONAL SAN LUIS GONZAGA
RAÚL HUAMAN-CORONADO UNIVERSIDAD NACIONAL SAN LUIS GONZAGA
  MARJORIE YBASETA-SOTO UNIVERSIDAD PRIVADA SAN JUAN BAUTISTA
Abstract

 Introduction: Hellp syndrome and hepatic rupture is a rare complication especially in cases of twin pregnancy, we present the case of a ruptured hepatic subcapsular hematoma due to HELLP syndrome complicating a twin pregnancy that required emergency cesarean section and for the management of hypovolemia hepatic packing. Case presentation: Female, 41 years old, twin pregnancy of 35 weeks, came to the emergency room for uterine contractions and absence of fetal movements. Due to severe bradycardia in both fetuses, an emergency cesarean section was performed. When the abdominal cavity was opened, hemoperitoneum was found, and both fetuses were extracted alive. A median, supra and infraumbilical exploratory laparotomy (post cesarean section) was performed and a right lobe hepatic rupture was found. Hepatic packing with 11 gauze compresses, placement of 4 lamellar Penrose drains and temporary abdominal closure, management of hypovolemic shock and preeclampsia was continued in the Intensive Care Unit and the patient was discharged in good condition at 21 days. Conclusion: HELLP syndrome produces serious complications such as hepatic rupture which, if not treated correctly in an early and multidisciplinary manner, can lead to maternal and perinatal mortality.


 

How to Cite
YBASETA-MEDINA, J., HUAMAN-CORONADO, R. ., & YBASETA-SOTO, M. . (2023). hellp Syndrome and Hepatic Rupture in a Twin Pregnancy: A Case Report. Revista Ciencias De La Salud, 21(1), 1–10. https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.11963
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