1. Die spontane Leberruptur bei Eklampsie
- Author
-
Körner J, Behrend R, Seeler M, and Mörl Fk
- Subjects
medicine.medical_specialty ,Pregnancy ,Eclampsia ,business.industry ,Obstetrics and Gynecology ,medicine.disease ,Epigastric pain ,female genital diseases and pregnancy complications ,Surgery ,Obstetrics and gynaecology ,Upper abdominal pain ,Maternity and Midwifery ,medicine ,Liver rupture ,medicine.symptom ,business ,reproductive and urinary physiology ,Collapse (medical) ,Severe complication - Abstract
We report on a case of a 34-year old nullipara who suffered from rupture of the liver during eclampsia and survived despite most serious complications. Most cases of rupture of a non-traumatic subcapsular haematoma of the liver during pregnancy are associated with symptoms of pre-eclampsia. The pathogenesis of this severe complication as well as diagnostic imaging and surgical treatment are discussed. The classical trias of pre-eclampsia, epigastric pain and sudden circulary collapse may vary considerably. Since early diagnosis is crucial for maternal and foetal outcome, a subcapsular haematoma of the liver should be considered in women during pregnancy and childbed presenting with pre-eclampsia and upper abdominal pain. Here ultrasonographic imaging is a valuable and readily available diagnostic tool for the obstetrician.
- Published
- 1987