A rare case of spontaneous hepatic rupture in a pregnant woman

作者：Zhou, Xiao; Zhang, Meng; Liu, Zhuang; Duan, Meili; Dong, Lei^*

来源：BMC Pregnancy and Childbirth, 2018, 18(1): 87.

DOI：10.1186/s12884-018-1713-5

• Perinatal mortality
• Pregnancy complications
• Rupture
• Spontaneous
• Fatty liver

Background: Spontaneous hepatic rupture in pregnancy is a rare and life-threatening event during the perinatal period.
Case presentation: We report a case of a 33-year-old woman with 36 + 6 weeks' gestation that present with elevated blood pressure before delivery, who was admitted to our hospital due to irregular abdominal pain. Diagnosed with abdominal paracentesis, the emergent caesarean section and laparotomy were performed. Postoperatively, the patient experienced 22-day intensive therapy in ICU and was transferred to the General Surgery Department in good physical condition without post-operative complications.
Conclusions: This case indicates that making an accurate and timely diagnosis and taking multidisciplinary approach contribute to a successful clinical outcome.

• 出版日期2018-4-10
• 单位首都医科大学