{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T04:39:18Z","timestamp":1745469558161,"version":"3.40.4"},"reference-count":10,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2010,1,1]],"date-time":"2010-01-01T00:00:00Z","timestamp":1262304000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2010,1,1]],"date-time":"2010-01-01T00:00:00Z","timestamp":1262304000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gynecol Obstet Invest"],"published-print":{"date-parts":[[2010]]},"abstract":"<jats:p>&lt;i&gt;Background:&lt;\/i&gt; Spontaneous liver rupture during pregnancy is extremely rare, and often associated with hypertensive disorders. Maternal outcomes are poor and morbidity is high. &lt;i&gt;Case:&lt;\/i&gt; A 27-year-old women (G1P0), pregnant with monochorionic-monoamniotic twins, developed extensive abdominal pain while she was electively admitted at 32 weeks for fetal pulmonary maturation. Diagnosed with preterm labor, a caesarean section was performed. Postoperatively, our patient deteriorated and a second laparotomy revealed an extensive liver rupture. There was no evidence of hypertensive disorders or hepatic tumors. After perihepatic packing and embolization, our patient required long-term treatment in our intensive care unit. She survived, and both mother and children are healthy after 6 months. &lt;i&gt;Conclusion:&lt;\/i&gt; Despite being rare, spontaneous liver rupture in absence of hypertensive disorders during pregnancy is associated with high maternal morbidity and mortality. Adequate treatment requires a multidisciplinary approach.<\/jats:p>","DOI":"10.1159\/000290063","type":"journal-article","created":{"date-parts":[[2010,3,4]],"date-time":"2010-03-04T13:40:21Z","timestamp":1267710021000},"page":"69-72","source":"Crossref","is-referenced-by-count":2,"title":["Spontaneous Hepatic Rupture in a Normotensive Monoamniotic Twin Pregnancy: Case Report and Review of the Literature"],"prefix":"10.1159","volume":"70","author":[{"given":"P.L.J.","family":"DeKoninck","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Loquet","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Leyman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Van Leemput","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"O.","family":"d\u2019Archambeau","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Van Wiemeersch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Devlieger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2010,3,4]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1111%2Fj.1556-4029.2008.00677.x"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016%2FS0306-5456%2800%2900087-5"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016%2FS0002-9378%2897%2970353-3"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1097%2F00006254-197611000-00001"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1097%2F00000658-199607000-00011"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1007%2FBF02388225"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1007%2Fs001040050074"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1007%2FPL00007498"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1080%2F01443610410001648340"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1136%2Fgut.2006.114363"}],"container-title":["Gynecologic and Obstetric Investigation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/290063","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/290063","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T20:04:52Z","timestamp":1745438692000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000290063"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2010,7,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000290063","archive":["Portico"],"relation":{},"ISSN":["0378-7346","1423-002X"],"issn-type":[{"type":"print","value":"0378-7346"},{"type":"electronic","value":"1423-002X"}],"subject":[],"published":{"date-parts":[[2010]]}}}