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patho 2 - aimhigh
#11
how r u brother mohammed? thanks for checking, it will reinforce what you know and help others to better understand physiopathology.
GL to u 2.
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#12
im pretty good OKT3 thanks a lot bro..;Wink and here 2 articles about it...hope it helps...best wishes...Smile


Castriconi M, Aragiusto G, Ansalone M, Aloj G, Grasso A, Bartone G, Renda F.

Dipartimento di Emergenza, Azienda Ospedaliera di Rilievo Nazionale A. Cardarelli, Napoli.

Liver rupture and hemorrhage, are the most unusual and serious complications of HELLP syndrome (hemolysis--elevated liver enzymes--low platelet count). The management should be aggressive by treating coagulopathy and favouring a prompt delivery. Liver rupture remains a surgical emergency with control of bleeding based on trauma surgery. The aggressive approach to the management of these patients led to a remarkable decrease of mortality rate.


Risseeuw JJ, de Vries JE, van Eyck J, Arabin B.

Department of Perinatology, Sophia Ziekenhuis Zwolle, The Netherlands.

Liver rupture is a rare perinatal complication with high maternal mortality. In a multiparous woman with preeclampsia and Hemolysis, Elevated Liver enzymes, and Low Platelet count (HELLP) syndrome, liver rupture was suspected 10 h after a cesarean section. Laparotomy revealed liver rupture which was treated by perihepatic packing. Eventually, the mother was discharged with her baby 88 days after admission. Clinical symptoms, maternal hemodynamics by Swan-Ganz monitoring, and laboratory findings were not predictive until the emergency situation and the consecutive complications required multidisciplinary management.

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#13
Thanks Bro, so the renal cortical necrosis make answer E wrong and B best!
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