Be aware: REBOA may increase liver bleeding!

Author(s):  
Yaakov Daskal ◽  
Tal Hörer ◽  
Yael Shvili ◽  
Dan Hebron ◽  
Boris Kessel
Keyword(s):  
2010 ◽  
Vol 17 (4) ◽  
pp. 346-352 ◽  
Author(s):  
Ildikó Takács ◽  
Jürgen Wegmann ◽  
Szabolcs Horváth ◽  
Andrea Ferencz ◽  
Sándor Ferencz ◽  
...  

HPB ◽  
2012 ◽  
Vol 14 (6) ◽  
pp. 382-389 ◽  
Author(s):  
Narendra Battula ◽  
Dimitrios Tsapralis ◽  
Arjun Takhar ◽  
Chris Coldham ◽  
David Mayer ◽  
...  

PEDIATRICS ◽  
1958 ◽  
Vol 21 (4) ◽  
pp. 604-604

Gross hemorrhage under the capsule of the liver or from rupture of the parenchyma appears to be a direct cause or a significant factor in 1.2 to 5.6% of stillbirths and neonatal deaths, according to the author from this review of the literature. This form of intra-abdominal hemorrhage has not been readily recognized during life judging from the nature of the reports, nearly all of which are based on necropsy. The clinical manifestations are distinctive. The infants generally appear normal for the first 48 hours of life and then develop pallor and a decreasing concentration of hemoglobin in the blood, rapidly progressing to sudden collapse. A swelling may be palpated in the vicinity of the liver. Bleeding may be severe, and prompt recognition and treatment are imperative. Transfusion is obviously the most important therapeutic measure. The amount of blood required should not be underestimated. The occasional indications for surgical laparotomy are discussed but conservative treatment is generally preferable.


2013 ◽  
Vol 123 (1) ◽  
pp. 7-9 ◽  
Author(s):  
Marie Darby ◽  
James N. Martin ◽  
Sarah Q. Mitchell ◽  
Michelle Y. Owens ◽  
Kedra Wallace

1978 ◽  
Vol 18 (11) ◽  
pp. 771-773 ◽  
Author(s):  
DWIGHT H. MURRAY ◽  
JAMES D. BORGE ◽  
GALLERAND G. POUTEAU
Keyword(s):  

2015 ◽  
Vol 20 (4) ◽  
Author(s):  
Saeed Nouri ◽  
Mohammad Reza Sharif ◽  
Hasan Afzali ◽  
Alireza Sharif ◽  
Mojtaba Satkin

2011 ◽  
Vol 19 (3) ◽  
pp. 11-11
Keyword(s):  

2021 ◽  
Vol 8 ◽  
Author(s):  
Valentina Messina ◽  
Daniele Dondossola ◽  
Maria Chiara Paleari ◽  
Gianluca Fornoni ◽  
Daniela Tubiolo ◽  
...  

Background: Liver bleeding secondary to haemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome is uncommon, but a life-threatening peripartum condition that needs a prompt multidisciplinary approach.Case Presentation: In this study, we presented a case of 28-year-old pregnant woman, who was presented to the obstetrics department with signs of preeclampsia and foetal growth restriction. An emergency caesarean section was performed, and the patient developed a HELLP syndrome complicated by spontaneous liver rupture. After radiological and surgical procedures, liver failure became evident and liver transplantation was successfully performed. The patient and her daughter are now alive.Conclusions: Despite the rarity of this disease, liver complications due to HELLP syndrome must be properly diagnosed and treated given the gravity of the possible evolution in young women. After diagnosis, the patients must be treated in specialised centres with gynaecological, liver surgery, and transplant skills.


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