{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T13:47:23Z","timestamp":1761918443536,"version":"3.40.4"},"reference-count":2,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2001,1,1]],"date-time":"2001-01-01T00:00:00Z","timestamp":978307200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2001,1,1]],"date-time":"2001-01-01T00:00:00Z","timestamp":978307200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gyn\u00e4kol Geburtshilfliche Rundsch"],"published-print":{"date-parts":[[2001]]},"abstract":"<jats:p>Manifestes Multiorganversagen ist der dramatische Endpunkt der schwersten Verlaufsform des HELLP-Syndroms (hemolysis, elevated liver function, low platelets). Spezifische Therapiestategien sind noch nicht routinem\u00e4ssig gekl\u00e4rt. Wir pr\u00e4sentieren die Kasuistik einer kombinierten chirugischen Therapie (Hepatektomie, portokavale Anastomose, orthotope Lebertransplantation). Eine 26-j\u00e4hrige Primapara entwickelte post partum (39.SSW) eine Leberruptur bei HELLP-Syndrom. Notfallm\u00e4ssige Hepatektomie und portokavale Anastomose waren eine suffiziente \u00dcberbr\u00fcckung bis zur Lebertransplantation. Die Patientin konnte bei komplikationslosem Verlauf nach Lebertransplantation bei exzellenter Organfunktion fr\u00fchzeitig entlassen werden. Der portokavale Shunt und die Lebertransplantation repr\u00e4sentierten f\u00fcr unsere Patientin eine effektive Therapie. Eine aggressive chirurgische Therapie sollte als fr\u00fche Option der Behandlung der Leberruptur bei HELLP-Syndrom in Erw\u00e4gung gezogen werden.<\/jats:p>","DOI":"10.1159\/000049455","type":"journal-article","created":{"date-parts":[[2003,4,15]],"date-time":"2003-04-15T10:10:37Z","timestamp":1050401437000},"page":"8-11","source":"Crossref","is-referenced-by-count":2,"title":["HELLP-Syndrom als Indikation f\u00fcr eine Lebertransplantation"],"prefix":"10.1159","volume":"41","author":[{"given":"M.","family":"Hommann","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"U.","family":"Schotte","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.K.","family":"Richter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"U.","family":"M\u00f6ller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Basciani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Scheele","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2001,6,15]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1097\/00003081-199909000-00009"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1007\/s002619900571"}],"container-title":["Gyn\u00e4kologisch-geburtshilfliche Rundschau"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/49455","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/49455","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T04:15:32Z","timestamp":1745468132000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000049455"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2001]]},"references-count":2,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2001,6,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000049455","archive":["Portico"],"relation":{},"ISSN":["1018-8843","1423-0011"],"issn-type":[{"type":"print","value":"1018-8843"},{"type":"electronic","value":"1423-0011"}],"subject":[],"published":{"date-parts":[[2001]]}}}