Presentation
Right upper quadrant abdominal pain. Day 1 after cesarean section for pre-eclampsia and HELLP syndrome.
Patient Data
Age: 35 years
Gender: Female
From the case:
Hepatic infarct complicating HELLP syndrome
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CT scan shows patches of poorly defined non-enhancing areas of the right liver lobe , compatible with hepatic infarct given the context.
Peritoneal fluid with small right-sided pleural effusion.
Post-operative uterine changes with pneumoperitoneum.
Case Discussion
HELLP syndrome is an uncommon pregnancy-related condition characterized by hemolysis, elevated liver enzymes and low platelets, affecting 0.2% of all pregnancies1.
Hepatic infarction is a complication of HELLP syndrome, rare due to the dual vascular supply of the liver, its pathogenesis remains unclear but regional vasospasm is the most probable cause.