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
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/130390/annotated_viewer_json?_c=1672969356\u0026lang=us"}
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.
Unable to process the form. Check for errors and try again.