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Clinical and Experimental Obstetrics & Gynecology  2018, Vol. 45 Issue (4): 622-625    DOI: 10.12891/ceog4176.2018
Case Report Previous articles | Next articles
Postpartum hepatic rupture and intestinal fistula associated with severe pre-eclampsia
Bao-Juan Yang1, Ji-Wei Sun2, Qing Zhang1, Da-Jun Cai1, *()
1 Department of Obstetrics & Gynecology, Second Affiliated Hospital, Zhengzhou University, Zhengzhou, China
2 Department of Surgery, Thoracic Hospital of Henan, Zhengzhou, China
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Abstract  
Here, the authors present a case of severe pre-eclampsia complicated by postpartum HELLP syndrome. A 29-year-old pregnant woman with severe pre-eclampsia at 30 weeks of gestation was admitted to the present clinic with hypertension and proteinuria. A cesarean section was performed at 31+3 weeks of gestation due to fetal distress and a history of cesarean section. The postpartum period was uneventful until two days after the cesarean section, when the patient began to experience epigastric pain, nausea, and vomiting. Subsequent laboratory tests were consistent with HELLP syndrome. Development of hemoperitoneum led to the patient being conveyed to surgery whereupon the authors discovered a large hematoma. They also identified that the liver capsule had a 5-cm tear. Unfortunately, the patient was diagnosed with an intestinal fistula 12 days after surgery. They therefore recommend that caution should be exercised closely monitoring for new symptoms in patients with pre-eclampsia in order to detect the potential development of postpartum HELLP syndrome.
Key words:  HELLP syndrome      Hepatic rupture      Intestinal fistula      Postpartum period      Pre-eclampsia     
Published:  10 August 2018     
*Corresponding Author(s):  DA-JUN CAI     E-mail:  hanyuef@sina.cn

Cite this article: 

Bao-Juan Yang, Ji-Wei Sun, Qing Zhang, Da-Jun Cai. Postpartum hepatic rupture and intestinal fistula associated with severe pre-eclampsia. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(4): 622-625.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog4176.2018     OR     https://ceog.imrpress.com/EN/Y2018/V45/I4/622

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