{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T14:28:54Z","timestamp":1764944934201,"version":"3.40.5"},"reference-count":22,"publisher":"Wiley","license":[{"start":{"date-parts":[[2023,4,3]],"date-time":"2023-04-03T00:00:00Z","timestamp":1680480000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Critical Care"],"published-print":{"date-parts":[[2023,4,3]]},"abstract":"<jats:p>Spontaneous hepatic rupture is a rare complication associated with preeclampsia and is characterized by hemolysis, elevated liver enzymes, and a low platelet count (HELLP syndrome), with a nonspecific clinical presentation and high mortality rate. We present the case of a 34-year-old primigravida woman in whom spontaneous hepatic rupture associated with HELLP syndrome was accidentally detected during cesarean delivery. The patient was successfully managed with liver packing and transcatheter arterial embolization, followed by plasmapheresis. Spontaneous hepatic rupture should be considered in any HELLP syndrome patient presenting with epigastric or right upper quadrant pain and early signs of hemodynamic instability. A multimodal approach can help achieve good clinical outcomes in patients with this rare presentation.<\/jats:p>","DOI":"10.1155\/2023\/6683645","type":"journal-article","created":{"date-parts":[[2023,4,3]],"date-time":"2023-04-03T18:05:10Z","timestamp":1680545110000},"page":"1-7","source":"Crossref","is-referenced-by-count":3,"title":["Spontaneous Hepatic Rupture in a Pregnant Woman with Preeclampsia and HELLP Syndrome"],"prefix":"10.1155","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-8856-3827","authenticated-orcid":true,"given":"Nguyen Phuoc","family":"Lam","sequence":"first","affiliation":[{"name":"Intensive Care Unit, Cho Ray Hospital, Ho Chi Minh City, Vietnam"},{"name":"University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8606-6163","authenticated-orcid":true,"given":"Anh Tuan","family":"Mai","sequence":"additional","affiliation":[{"name":"University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6619-2535","authenticated-orcid":true,"given":"Thanh Chi","family":"Pham","sequence":"additional","affiliation":[{"name":"University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4918-9839","authenticated-orcid":true,"given":"Hieu Trung","family":"Kieu","sequence":"additional","affiliation":[{"name":"Intensive Care Unit, Cho Ray Hospital, Ho Chi Minh City, Vietnam"},{"name":"University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1757-5359","authenticated-orcid":true,"given":"Hien Quang","family":"Nguyen","sequence":"additional","affiliation":[{"name":"University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","first-page":"792","article-title":"Hemorrhage of the liver","volume":"34","author":"J. Abercrombie","year":"1844","journal-title":"London Medical Gazette"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318245c283"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.04.0817"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-008-0829-7"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1097\/md.0000000000011458"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/j.tjog.2020.07.003"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-022-00444-w"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1002\/msc.1628"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2020.1804626"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2012.03.042"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1603100"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2021.10.017"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccc.2004.05.006"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000187954.45956.f1"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.3348\/kjr.2018.19.4.585"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-018-2073-2"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1002\/jca.21705"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.14740\/jh347w"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.4103\/ajts.ajts_176_20"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(95)91470-6"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1016\/s0002-9378(97)70371-5"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1177\/107602960501100211"}],"container-title":["Case Reports in Critical Care"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cricc\/2023\/6683645.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cricc\/2023\/6683645.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cricc\/2023\/6683645.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,3]],"date-time":"2023-04-03T18:05:13Z","timestamp":1680545113000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/cricc\/2023\/6683645\/"}},"subtitle":[],"editor":[{"given":"Kenneth S.","family":"Waxman","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2023,4,3]]},"references-count":22,"alternative-id":["6683645","6683645"],"URL":"https:\/\/doi.org\/10.1155\/2023\/6683645","relation":{},"ISSN":["2090-6439","2090-6420"],"issn-type":[{"type":"electronic","value":"2090-6439"},{"type":"print","value":"2090-6420"}],"subject":[],"published":{"date-parts":[[2023,4,3]]}}}