Management of Hepatic Rupture Diagnosed after an Emergency Cesarean Section
A careful management of hepatic capsular rupture, with massive hemoperitoneum which occurred 14 hours after an emergency cesarean section at 36 weeks of gestation, is meticulously reported. The grade of hepatic involvement varies from minor capsular laceration to extensive parenchymal rupture. Our...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2014-01-01
|
| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2014/312938 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832558702484258816 |
|---|---|
| author | Gianluca Raffaello Damiani Viviana Merola Mario Barnaba Stefano Landi Gennaro Cormio Antonio Pellegrino |
| author_facet | Gianluca Raffaello Damiani Viviana Merola Mario Barnaba Stefano Landi Gennaro Cormio Antonio Pellegrino |
| author_sort | Gianluca Raffaello Damiani |
| collection | DOAJ |
| description | A careful management of hepatic capsular rupture, with massive hemoperitoneum which occurred 14 hours after an emergency cesarean section at 36 weeks of gestation, is meticulously reported. The grade of hepatic involvement varies from minor capsular laceration to extensive parenchymal rupture. Our management involved a combination of surgical interventions and aggressive supportive care. The patient was discharged after 53 days and 4 laparotomies and an unsuccessful attempt of superselective artery embolization. Ultrasound after 40 days from the last surgery showed uniform hepatic parenchyma free of focal lesions. Due to the rarity and the unpredictability nature of this devastating event we believe necessary to report our experience, reinforcing the importance of the postsurgery management. |
| format | Article |
| id | doaj-art-04c4982e98e446e880c64016aa692138 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-04c4982e98e446e880c64016aa6921382025-02-03T01:31:45ZengWileyCase Reports in Medicine1687-96271687-96352014-01-01201410.1155/2014/312938312938Management of Hepatic Rupture Diagnosed after an Emergency Cesarean SectionGianluca Raffaello Damiani0Viviana Merola1Mario Barnaba2Stefano Landi3Gennaro Cormio4Antonio Pellegrino5Department of Obstetrics and Gynecology, Alessandro Manzoni Hospital, Dell’Eremo Street 11, 23900 Lecco, ItalyDepartment of Obstetrics and Gynecology, University of Bari, 70124 Bari, ItalyDepartment of Obstetrics and Gynecology, University of Bari, 70124 Bari, ItalyDepartment of Obstetrics and Gynecology, Hospital of Sondrio, 23100 Sondrio, ItalyDepartment of Obstetrics and Gynecology, University of Bari, 70124 Bari, ItalyDepartment of Obstetrics and Gynecology, Alessandro Manzoni Hospital, Dell’Eremo Street 11, 23900 Lecco, ItalyA careful management of hepatic capsular rupture, with massive hemoperitoneum which occurred 14 hours after an emergency cesarean section at 36 weeks of gestation, is meticulously reported. The grade of hepatic involvement varies from minor capsular laceration to extensive parenchymal rupture. Our management involved a combination of surgical interventions and aggressive supportive care. The patient was discharged after 53 days and 4 laparotomies and an unsuccessful attempt of superselective artery embolization. Ultrasound after 40 days from the last surgery showed uniform hepatic parenchyma free of focal lesions. Due to the rarity and the unpredictability nature of this devastating event we believe necessary to report our experience, reinforcing the importance of the postsurgery management.http://dx.doi.org/10.1155/2014/312938 |
| spellingShingle | Gianluca Raffaello Damiani Viviana Merola Mario Barnaba Stefano Landi Gennaro Cormio Antonio Pellegrino Management of Hepatic Rupture Diagnosed after an Emergency Cesarean Section Case Reports in Medicine |
| title | Management of Hepatic Rupture Diagnosed after an Emergency Cesarean Section |
| title_full | Management of Hepatic Rupture Diagnosed after an Emergency Cesarean Section |
| title_fullStr | Management of Hepatic Rupture Diagnosed after an Emergency Cesarean Section |
| title_full_unstemmed | Management of Hepatic Rupture Diagnosed after an Emergency Cesarean Section |
| title_short | Management of Hepatic Rupture Diagnosed after an Emergency Cesarean Section |
| title_sort | management of hepatic rupture diagnosed after an emergency cesarean section |
| url | http://dx.doi.org/10.1155/2014/312938 |
| work_keys_str_mv | AT gianlucaraffaellodamiani managementofhepaticrupturediagnosedafteranemergencycesareansection AT vivianamerola managementofhepaticrupturediagnosedafteranemergencycesareansection AT mariobarnaba managementofhepaticrupturediagnosedafteranemergencycesareansection AT stefanolandi managementofhepaticrupturediagnosedafteranemergencycesareansection AT gennarocormio managementofhepaticrupturediagnosedafteranemergencycesareansection AT antoniopellegrino managementofhepaticrupturediagnosedafteranemergencycesareansection |