Ruptura de hematoma hepático en embarazo a término, secundario a síndrome de Hellp incompleto

Abstract

Hellp syndrome is a complication of hypertensive disorders in pregnancy and may be developed in approximately 10% of these cases, which is why it is of great importance both globally and in Ecuador to know in depth about this motto since it has high prevalence and great severity in its complications. It must be taken into account that the pathophysiology of this syndrome is not well understood, however, it is known that this syndrome will be characterized by haemolysis, elevated hepatic and / or thrombocytopenia, and the complications that may occur are coagulation in Vascular disseminadii anger that is the most common to present, premature placental abruption, pulmonary edema, acute renal failure, severe ascites, pleural effusion, cerebral edema and hepatic subcapsular hematoma taking into account that the latter is uncommon to present and can be found associated with pregnant women with Hellp syndrome. It is usually difficult to diagnose what conditions a high mortality rate, so it is recommended to educate the mothers when there are warning signs that may occur, to maintain the surveillance status in the presence of suspicious clinical pictures even without analytical evidence of hepatic impairment or hemodynamics. arterial hypertension in pregnancy because if an early diagnosis is made it will facilitate the multidisciplinary work that requires the management of this pathology in order to reduce the morbidity and mortality of both the mother and the newborn.