دورية أكاديمية

Multidisciplinary management of the pregnant patient in haemorrhagic shock secondary to an undiagnosed ruptured liver adenoma

التفاصيل البيبلوغرافية
العنوان: Multidisciplinary management of the pregnant patient in haemorrhagic shock secondary to an undiagnosed ruptured liver adenoma
المؤلفون: Sanford, Brittany, Hoeppner, Catherine, Ju, Tammy, Theisen, Brian K, BuAbbud, Anna, Estroff, Jordan M
المصدر: BMJ Case Reports ; volume 13, issue 2, page e231995 ; ISSN 1757-790X
بيانات النشر: BMJ
سنة النشر: 2020
الوصف: Management of a ruptured hepatocellular adenoma during pregnancy is a rare and potentially life-threatening entity. Few case reports have described management of the pregnant patient who presents in haemorrhagic shock secondary to a ruptured liver adenoma. A 30-year-old primigravid woman at 31 weeks pregnant presented with abdominal pain and fetal bradycardia. After stat caesarean delivery of the infant, she had continued hemoperitoneum and was in shock secondary to an undiagnosed ruptured liver mass. General surgery was consulted intraoperatively and performed an exploratory laparotomy, packing and temporary closure. She was subsequently taken to interventional radiology (IR) for angioembolisation of the left hepatic artery. After stabilisation, she underwent formal abdominal closure. Management of a ruptured hepatocellular adenoma in pregnancy requires urgent multidisciplinary care including obstetrics gynaecology, general surgery and IR.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1136/bcr-2019-231995
الإتاحة: https://doi.org/10.1136/bcr-2019-231995Test
رقم الانضمام: edsbas.6F32B363
قاعدة البيانات: BASE