<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412023001100847</article-id>
<article-id pub-id-type="doi">10.24245/gom.v91i11.8968</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Ruptura hepática: complicación rara del síndrome de HELLP. Reporte de un caso y revisión bibliográfica]]></article-title>
<article-title xml:lang="en"><![CDATA[Liver rupture: rare complication of HELLP syndrome. Case report and bibliographic review.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Verduzco]]></surname>
<given-names><![CDATA[Julio César]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castillo López]]></surname>
<given-names><![CDATA[Gerardo Edu]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Trujillo Ibarra]]></surname>
<given-names><![CDATA[Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barrera García]]></surname>
<given-names><![CDATA[Andrea Guadalupe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos Rodríguez]]></surname>
<given-names><![CDATA[Alexis Eliseo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Macedo]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Secretaría de Salud de Michoacán Departamento de Ginecología y Obstetricia ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Secretaría de Salud de Michoacán Departamento de Ginecología y Obstetricia ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Secretaría de Salud de Michoacán Departamento de Ginecología y Obstetricia ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<volume>91</volume>
<numero>11</numero>
<fpage>847</fpage>
<lpage>856</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412023001100847&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412023001100847&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412023001100847&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  ANTECEDENTES: La ruptura hepática es una complicación excepcional del síndrome de HELLP. La incidencia mundial de enfermedades hipertensivas relacionadas con el embarazo es del 4.5%, con ruptura hepática en aproximadamente 1 de cada 250,000 embarazos. La mortalidad estimada es del 90%.  CASO CLÍNICO: Paciente multigesta, de 34 años, que ingresó a la unidad hospitalaria a las 34.2 semanas del embarazo debido a una encefalopatía hipertensiva y dolor súbito en el epigastrio e hipocondrio. En la exploración física se encontró hemodinámicamente estable; los estudios de laboratorio informaron: trombocitopenia, función hepática alterada, enzimas hepáticas elevadas y hemólisis. La ecografía hepática reportó hematoma subcapsular. Se realizó laparotomía de urgencia, con cesárea y hemoperitoneo masivo. Se observó un hematoma hepático subcapsular, con ruptura y hemorragia activa. El tratamiento consistió en taponamiento hepático; sin embargo, persistió el sangrando, por lo que se practicó una laparotomía de segunda instancia, con hemorragia activa. Se hizo el empaquetamiento y a las 48 horas se retiró. La recuperación fue favorable y se dio de alta a los 16 del ingreso, sin complicaciones adicionales.  CONCLUSIONES: El caso aquí expuesto sugiere que los estados hipertensivos del embarazo, principalmente la preeclampsia, eclampsia y síndrome de HELLP, son el principal factor de riego de formación de un hematoma hepático, y en casos excepcionales la subsiguiente ruptura, incluso después del parto.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  BACKGROUND: Hepatic rupture is an extremely rare complication in HELLP syndrome. The worldwide incidence of pregnancy-related hypertensive diseases is 4.5%, with liver rupture occurring in approximately 1 in 250,000 pregnancies. Mortality is high when it is present, which can be up to 90%.  CLINICAL CASE: A 34-year-old multigravida woman was admitted at 34.2 weeks of gestation to the emergency room due to clinical hypertensive encephalopathy and sudden onset of pain in epigastrium and hypochondrium. At admission hemodynamically stable, blood work only reported thrombocytopenia, hepatic function altered with elevated liver enzymes and hemolysis. The hepatic ultrasound reported hematoma subcapsular. An emergency laparotomy with c- section was performed with a massive hemoperitoneum was observed. A subcapsular hepatic hematoma with rupture and active hemorrhage managed with hepatic packing. However, the patient continued to bleed, a second-look laparotomy was performed with active hemorrhage, which led to packing and 48 hours the removal of the packing. Her recovery was favorable and was discharged 16 days after her admission, with no subsequent complications.  CONCLUSIONS: The presentation of the case and bibliographic review suggests that hypertensive states of pregnancy, mainly preeclampsia, eclampsia and HELLP syndrome, are the main risk factor for the formation of a hepatic hematoma, and in exceptional cases the consequent rupture, even after delivery. Birth.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Embarazo]]></kwd>
<kwd lng="es"><![CDATA[síndrome de HELLP]]></kwd>
<kwd lng="es"><![CDATA[hematoma hepático]]></kwd>
<kwd lng="es"><![CDATA[ruptura hepática]]></kwd>
<kwd lng="en"><![CDATA[Pregnancy]]></kwd>
<kwd lng="en"><![CDATA[HELLP syndrome]]></kwd>
<kwd lng="en"><![CDATA[Hepatic hematoma]]></kwd>
<kwd lng="en"><![CDATA[Hepatic rupture]]></kwd>
</kwd-group>
</article-meta>
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