Transcatheter Arterial Embolization for Spontaneous Hepatic Rupture Associated with HELLP Syndrome: A Case Report
<i>Background:</i> Spontaneous hepatic rupture associated with the syndrome characterized by hemolysis, elevated liver enzymes, and a low platelet count (HELLP syndrome) is a rare and life-threatening condition, and only a few cases regarding the management of this condition through tran...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2021-10-01
|
| Series: | Medicina |
| Subjects: | |
| Online Access: | https://www.mdpi.com/1648-9144/57/10/1055 |
| _version_ | 1827679216272932864 |
|---|---|
| author | In-Chul Nam Jung-Ho Won Sungbin Kim Kyungsoo Bae Kyung-Nyeo Jeon Jin-Il Moon Eun Cho Ji-Eun Park Jae-Yool Jang Sung-Eun Park |
| author_facet | In-Chul Nam Jung-Ho Won Sungbin Kim Kyungsoo Bae Kyung-Nyeo Jeon Jin-Il Moon Eun Cho Ji-Eun Park Jae-Yool Jang Sung-Eun Park |
| author_sort | In-Chul Nam |
| collection | DOAJ |
| description | <i>Background:</i> Spontaneous hepatic rupture associated with the syndrome characterized by hemolysis, elevated liver enzymes, and a low platelet count (HELLP syndrome) is a rare and life-threatening condition, and only a few cases regarding the management of this condition through transcatheter arterial embolization (TAE) have been previously reported. <i>Case summary:</i> Herein, we report a case involving a 35-year-old pregnant woman who presented at 28 weeks of gestation with right upper quadrant pain, hypotension, and elevated levels of liver enzymes. Transabdominal ultrasound revealed fetal death. She required an emergency cesarean section, and hepatic rupture was identified after the fetus had been delivered. Hepatic packing and TAE were performed. The postprocedural course was uneventful, and the patient was discharged 14 days after she had been admitted to our hospital. <i>Conclusions:</i> Spontaneous hepatic rupture associated with HELLP syndrome is a very serious condition that requires prompt and decisive management. The high maternal and fetal mortality rates associated with this condition can be reduced through early accurate diagnosis and adequate management. The findings in the reported case indicate that TAE may be an attractive alternative to surgery for the management of spontaneous hepatic rupture associated with HELLP syndrome. |
| first_indexed | 2024-03-10T06:25:32Z |
| format | Article |
| id | doaj.art-fd8e2db111d94cdba838acc8cfd51fa4 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-10T06:25:32Z |
| publishDate | 2021-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-fd8e2db111d94cdba838acc8cfd51fa42023-11-22T19:04:09ZengMDPI AGMedicina1010-660X1648-91442021-10-015710105510.3390/medicina57101055Transcatheter Arterial Embolization for Spontaneous Hepatic Rupture Associated with HELLP Syndrome: A Case ReportIn-Chul Nam0Jung-Ho Won1Sungbin Kim2Kyungsoo Bae3Kyung-Nyeo Jeon4Jin-Il Moon5Eun Cho6Ji-Eun Park7Jae-Yool Jang8Sung-Eun Park9Department of Radiology, Gyeongsang National University School of Medicine and Gyeongsang National University Changwon Hospital, Changwon 51472, KoreaDepartment of Radiology, Gyeongsang National University School of Medicine and Gyeongsang National University Hospital, Jinju 52727, KoreaDepartment of Radiology, Gyeongsang National University School of Medicine and Gyeongsang National University Changwon Hospital, Changwon 51472, KoreaDepartment of Radiology, Gyeongsang National University School of Medicine and Gyeongsang National University Changwon Hospital, Changwon 51472, KoreaDepartment of Radiology, Gyeongsang National University School of Medicine and Gyeongsang National University Changwon Hospital, Changwon 51472, KoreaDepartment of Radiology, Gyeongsang National University School of Medicine and Gyeongsang National University Changwon Hospital, Changwon 51472, KoreaDepartment of Radiology, Gyeongsang National University School of Medicine and Gyeongsang National University Changwon Hospital, Changwon 51472, KoreaDepartment of Obstetrics and Gynecology, Gyeongsang National University School of Medicine and Gyeongsang National University Changwon Hospital, Changwon 51472, KoreaDepartment of General Surgery, Gyeongsang National University School of Medicine and Gyeongsang National University Changwon Hospital, Changwon 51472, KoreaDepartment of Radiology, Gyeongsang National University School of Medicine and Gyeongsang National University Changwon Hospital, Changwon 51472, Korea<i>Background:</i> Spontaneous hepatic rupture associated with the syndrome characterized by hemolysis, elevated liver enzymes, and a low platelet count (HELLP syndrome) is a rare and life-threatening condition, and only a few cases regarding the management of this condition through transcatheter arterial embolization (TAE) have been previously reported. <i>Case summary:</i> Herein, we report a case involving a 35-year-old pregnant woman who presented at 28 weeks of gestation with right upper quadrant pain, hypotension, and elevated levels of liver enzymes. Transabdominal ultrasound revealed fetal death. She required an emergency cesarean section, and hepatic rupture was identified after the fetus had been delivered. Hepatic packing and TAE were performed. The postprocedural course was uneventful, and the patient was discharged 14 days after she had been admitted to our hospital. <i>Conclusions:</i> Spontaneous hepatic rupture associated with HELLP syndrome is a very serious condition that requires prompt and decisive management. The high maternal and fetal mortality rates associated with this condition can be reduced through early accurate diagnosis and adequate management. The findings in the reported case indicate that TAE may be an attractive alternative to surgery for the management of spontaneous hepatic rupture associated with HELLP syndrome.https://www.mdpi.com/1648-9144/57/10/1055HELLP syndromespontaneous hepatic ruptureangioembolization |
| spellingShingle | In-Chul Nam Jung-Ho Won Sungbin Kim Kyungsoo Bae Kyung-Nyeo Jeon Jin-Il Moon Eun Cho Ji-Eun Park Jae-Yool Jang Sung-Eun Park Transcatheter Arterial Embolization for Spontaneous Hepatic Rupture Associated with HELLP Syndrome: A Case Report Medicina HELLP syndrome spontaneous hepatic rupture angioembolization |
| title | Transcatheter Arterial Embolization for Spontaneous Hepatic Rupture Associated with HELLP Syndrome: A Case Report |
| title_full | Transcatheter Arterial Embolization for Spontaneous Hepatic Rupture Associated with HELLP Syndrome: A Case Report |
| title_fullStr | Transcatheter Arterial Embolization for Spontaneous Hepatic Rupture Associated with HELLP Syndrome: A Case Report |
| title_full_unstemmed | Transcatheter Arterial Embolization for Spontaneous Hepatic Rupture Associated with HELLP Syndrome: A Case Report |
| title_short | Transcatheter Arterial Embolization for Spontaneous Hepatic Rupture Associated with HELLP Syndrome: A Case Report |
| title_sort | transcatheter arterial embolization for spontaneous hepatic rupture associated with hellp syndrome a case report |
| topic | HELLP syndrome spontaneous hepatic rupture angioembolization |
| url | https://www.mdpi.com/1648-9144/57/10/1055 |
| work_keys_str_mv | AT inchulnam transcatheterarterialembolizationforspontaneoushepaticruptureassociatedwithhellpsyndromeacasereport AT junghowon transcatheterarterialembolizationforspontaneoushepaticruptureassociatedwithhellpsyndromeacasereport AT sungbinkim transcatheterarterialembolizationforspontaneoushepaticruptureassociatedwithhellpsyndromeacasereport AT kyungsoobae transcatheterarterialembolizationforspontaneoushepaticruptureassociatedwithhellpsyndromeacasereport AT kyungnyeojeon transcatheterarterialembolizationforspontaneoushepaticruptureassociatedwithhellpsyndromeacasereport AT jinilmoon transcatheterarterialembolizationforspontaneoushepaticruptureassociatedwithhellpsyndromeacasereport AT euncho transcatheterarterialembolizationforspontaneoushepaticruptureassociatedwithhellpsyndromeacasereport AT jieunpark transcatheterarterialembolizationforspontaneoushepaticruptureassociatedwithhellpsyndromeacasereport AT jaeyooljang transcatheterarterialembolizationforspontaneoushepaticruptureassociatedwithhellpsyndromeacasereport AT sungeunpark transcatheterarterialembolizationforspontaneoushepaticruptureassociatedwithhellpsyndromeacasereport |