{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T22:23:41Z","timestamp":1767047021018,"version":"3.41.2"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2019,10,17]],"date-time":"2019-10-17T00:00:00Z","timestamp":1571270400000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>HELLP syndrome is a rare complication of pregnancy that may result in serious consequences such as hepatic rupture, one of the most feared and potentially life-threatening complications. This article aims to carry out a literature review on hepatic rupture in the context of HELLP syndrome as well as to present two clinical cases.<\/jats:p>","DOI":"10.1093\/jscr\/rjz277","type":"journal-article","created":{"date-parts":[[2019,8,22]],"date-time":"2019-08-22T11:36:03Z","timestamp":1566473763000},"source":"Crossref","is-referenced-by-count":4,"title":["Hepatic rupture in HELLP syndrome"],"prefix":"10.1093","volume":"2019","author":[{"given":"Catarina","family":"Moura","sequence":"first","affiliation":[{"name":"General Surgery Department, Hospital do Divino Esp\u00edrito Santo de Ponta Delgada, EPE, Ponta Delgada, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lu\u00eds","family":"Amaral","sequence":"additional","affiliation":[{"name":"General Surgery Department, Hospital do Divino Esp\u00edrito Santo de Ponta Delgada, EPE, Ponta Delgada, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joana","family":"Mendes","sequence":"additional","affiliation":[{"name":"General Surgery Department, Hospital do Divino Esp\u00edrito Santo de Ponta Delgada, EPE, Ponta Delgada, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rui","family":"Quintanilha","sequence":"additional","affiliation":[{"name":"General Surgery Department, Hospital do Divino Esp\u00edrito Santo de Ponta Delgada, EPE, Ponta Delgada, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco Melo","family":"Bento","sequence":"additional","affiliation":[{"name":"General Surgery Department, Hospital do Divino Esp\u00edrito Santo de Ponta Delgada, EPE, Ponta Delgada, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria In\u00eas","family":"Leite","sequence":"additional","affiliation":[{"name":"General Surgery Department, Hospital do Divino Esp\u00edrito Santo de Ponta Delgada, EPE, Ponta Delgada, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ant\u00f3nio","family":"Melo","sequence":"additional","affiliation":[{"name":"General Surgery Department, Hospital do Divino Esp\u00edrito Santo de Ponta Delgada, EPE, Ponta Delgada, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,10,17]]},"reference":[{"key":"2019101703585634500_ref1","first-page":"386","article-title":"Spontaneous liver rupture as a rare complication of the HELLP syndrome","volume":"41","author":"Raumanns","year":"1992","journal-title":"Anaesthesist"},{"key":"2019101703585634500_ref2","doi-asserted-by":"crossref","first-page":"1000","DOI":"10.1016\/0002-9378(93)90043-I","article-title":"Maternal morbidity and mortality in 442 pregnancies with hemolysis, elevated liver enzymes, and low platelets (HELLP syndrome)","volume":"169","author":"Sibai","year":"1993","journal-title":"Am J Obstet Gynecol"},{"key":"2019101703585634500_ref3","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/j.ajog.2006.01.016","article-title":"Characteristics and treatment of hepatic rupture caused by HELLP syndrome","volume":"195","author":"Araujo","year":"2006","journal-title":"Am J Obstet Gynecol"},{"key":"2019101703585634500_ref4","first-page":"195","article-title":"HELLP syndrome","volume":"116","author":"Rath","year":"1994","journal-title":"Zentrablbl Gynacol"},{"key":"2019101703585634500_ref5","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1080\/00015458.2007.11680156","article-title":"Spontaneous postpartum subcapsular liver rupture","volume":"107","author":"Mathei","year":"2007","journal-title":"Acta Chir Belg"},{"key":"2019101703585634500_ref6","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1016\/S0002-9610(96)00216-4","article-title":"Staged laparotomy for the hypothermia, acidosis and coagulopathy syndrome","volume":"172","author":"Moore","year":"1996","journal-title":"Am J Surg"},{"key":"2019101703585634500_ref7","first-page":"756","article-title":"Hepatic hemorrhage and the HELLP syndrome: a surgeon\u2019s perspective","volume":"61","author":"Stevenson","year":"1995","journal-title":"Am Surg"},{"key":"2019101703585634500_ref8","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. 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