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South African Journal of Surgery

On-line version ISSN 2078-5151
Print version ISSN 0038-2361

Abstract

THIESSEN, L  and  SHAW, J. Hepatic rupture as the initial manifestation of HELLP syndrome. S. Afr. j. surg. [online]. 2018, vol.56, n.3, pp.30-31. ISSN 2078-5151.  http://dx.doi.org/10.17159/2078-5151/2018/v56n3a2587.

A 34-year-old normotensive nulliparous woman at 38 weeks' gestation developed sudden onset of severe right upper quadrant pain, fetal distress, hypotension, and a generalised seizure. At urgent Caesarean section, a ruptured subcapsular liver haematoma was found. A healthy infant was delivered. Haemostasis was obtained with a Pringle manoeuver and liver packing. Subsequent bloodwork diagnosed HELLP syndrome. Both the patient and the infant made a full recovery. This case demonstrates the effectiveness of prompt application of these surgical manoeuvres.

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