{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T18:22:51Z","timestamp":1786990971214,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,9,10]],"date-time":"2024-09-10T00:00:00Z","timestamp":1725926400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Hemolysis, elevated liver enzyme levels, and low platelet count (HELLP) syndrome is a pregnancy-related clinical condition characterized by hemolysis, elevated liver enzymes, and thrombocytopenia, posing significant risks to maternal and fetal safety. Hepatic hematoma with spontaneous rupture and bleeding is a rare but severe complication of HELLP syndrome, with limited reports of hepatic artery intervention and embolization therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case:<\/jats:title>\n                    <jats:p>We present the case of a 35-year-old pregnant woman who developed worsening pain under the xiphoid process the night following a cesarean section. Her blood pressure dropped from 189\/110 mmHg to 90\/60 mmHg within 40 min. Vaginal exploration revealed no blood flow, and subsequent laparotomy uncovered multiple small liver surface lacerations actively bleeding. Emergency transcatheter arterial embolization (TAE) was promptly performed, stabilizing her condition. She was discharged 37 days post-admission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>TAE plays an important role in the treatment of HELLP syndrome with spontaneous liver rupture, with characteristics of minimal trauma and good efficacy, but the evidence supporting this recommendation is somewhat limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case underscores TAE as a potentially effective and less invasive alternative to surgical interventions for managing HELLP syndrome with spontaneous liver rupture. Further research is needed to better clarify the safety and efficacy of TAE in the treatment of HELLP syndrome with spontaneous liver rupture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.110291","type":"journal-article","created":{"date-parts":[[2024,9,12]],"date-time":"2024-09-12T06:47:26Z","timestamp":1726123646000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Transcatheter arterial embolization in postpartum HELLP syndrome: A case report"],"prefix":"10.1097","volume":"123","author":[{"given":"Xusheng","family":"Zhou","sequence":"first","affiliation":[{"name":"Department of Interventional Radiology, Anqing Municipal Hospital, Anqing 246000, Anhui, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qi","family":"Shi","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Anqing Municipal Hospital, Anqing 246000, Anhui, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhijiang","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Anqing Municipal Hospital, Anqing 246000, Anhui, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Anqing Municipal Hospital, Anqing 246000, Anhui, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liuqin","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Gynaecology and Obstetrics, Anqing Municipal Hospital, Anqing 246000, Anhui, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaying","family":"Dai","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Anqing Municipal Hospital, Anqing 246000, Anhui, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"3","key":"R1-114-20260507","first-page":"205","article-title":"Management of spontaneous hepatic rupture on top of HELLP syndrome: case report and review of the literature[J]","volume":"31","author":"Troja,","year":"2015","journal-title":"Viszeralmedizin"},{"key":"R2-114-20260507","doi-asserted-by":"crossref","first-page":"512","DOI":"10.1308\/003588414X13946184901362","article-title":"The management of the surgical complications of HELLP syndrome","volume":"96","author":"Wilson,","year":"2014","journal-title":"Ann. R. Coll. Surg. Engl."},{"key":"R3-114-20260507","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1111\/j.1432-2277.1993.tb00643.x","article-title":"Acute liver necrosis in the HELLP syndrome: successful outcome after orthotopic liver transplantation. A case report","volume":"6","author":"Erhard,","year":"1993","journal-title":"Transpl. Int."},{"issue":"5","key":"R4-114-20260507","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int. J. Surg."},{"issue":"1","key":"R5-114-20260507","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph16010109","article-title":"Diagnosis of HELLP syndrome: a 10-year survey in a perinatology centre[J]","volume":"16","author":"Rimaitis,","year":"2019","journal-title":"Int. J. Environ. Res. Public Health"},{"issue":"3","key":"R6-114-20260507","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1007\/s13224-014-0582-8","article-title":"HELLP or help: a real challenge[J]","volume":"65","author":"Chawla,","year":"2015","journal-title":"J. Obstet. Gynaecol. India"},{"key":"R7-114-20260507","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1016\/j.jsurg.2009.04.001","article-title":"Diagnosis and surgical management of spontaneous hepatic rupture associated with HELLP syndrome","volume":"66","author":"Pavlis,","year":"2009","journal-title":"J. Surg. Educ."},{"key":"R8-114-20260507","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.cca.2015.10.024","article-title":"Revisiting HELLP syndrome[J]","volume":"451","author":"Dusse,","year":"2015","journal-title":"Clin. Chim. Acta"},{"key":"R9-114-20260507","first-page":"53","article-title":"Delivery or expectant management for prevention of adverse maternal and neonatal outcomes in hypertensive disorders of pregnancy: an individual participant data meta-analysis[J]","year":"2019","journal-title":"Ultrasound Obstet. Gynecol."},{"issue":"1","key":"R10-114-20260507","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1097\/GRF.0000000000000253","article-title":"Diagnosis and management of HELLP syndrome complicated by liver hematoma[J]","volume":"60","author":"Ditisheim,","year":"2017","journal-title":"Clin. Obstet. Gynecol."}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261224010721?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261224010721?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2024.110291","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T21:00:46Z","timestamp":1778187646000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2024.110291"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10]]},"references-count":10,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2024.110291","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2024,10]]},"assertion":[{"value":"2024-08-14","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-09","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}