SUBCAPSULAR LIVER HEMATOMA WITH HELLP-SYNDROME - AN INTERDISCIPLINARYURGENCY

The HELLP-syndrome (Hemolysis, Elevated Liver enzymes, Low Platelets), known as a complication during pregnancy, is associated with preeclam psia and may cause subcapsular liver hematomas. In case of hepatic rup ture the lives of mother and unborn are threatened. Therefore, an inte rdisciplinary diagnostic and therapeutic approach is discussed and com pared to two examples. The diagnosis of subcapsular liver hematoma mus t lead to urgent delivery through Cesarean section. Thereafter, the su rgeon may decide between observation on an intensive care unit and urg ent operation in case of hepatic rupture. without endangering the unbo rn.