Title: Spontaneous Hepatic Rupture in a Normotensive Monoamniotic Twin Pregnancy: Case Report and Review of the Literature
Authors: DeKoninck, Philip ×
Loquet, P
Leyman, P
Van Leemput, Josée
d'Archambeau, O
Van Wiemeersch, J
Devlieger, Roland #
Issue Date: Mar-2010
Series Title: Gynecologic and obstetric investigation vol:70 issue:1 pages:69-72
Abstract: Background: Spontaneous liver rupture during pregnancy is extremely rare, and often associated with hypertensive disorders. Maternal outcomes are poor and morbidity is high. Case: A 27-year-old women (G1P0), pregnant with monochorionic-monoamniotic twins, developed extensive abdominal pain while she was electively admitted at 32 weeks for fetal pulmonary maturation. Diagnosed with preterm labor, a caesarean section was performed. Postoperatively, our patient deteriorated and a second laparotomy revealed an extensive liver rupture. There was no evidence of hypertensive disorders or hepatic tumors. After perihepatic packing and embolization, our patient required long-term treatment in our intensive care unit. She survived, and both mother and children are healthy after 6 months. Conclusion: Despite being rare, spontaneous liver rupture in absence of hypertensive disorders during pregnancy is associated with high maternal morbidity and mortality. Adequate treatment requires a multidisciplinary approach.
ISSN: 0378-7346
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Foetal Medicine Section (-)
Section Woman - Miscellaneous (-)
× corresponding author
# (joint) last author

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