"1210-7832" . "HELLP syndrome complicated by liver rupture - case report"@en . "Fran\u010D\u00E1kov\u00E1, Jana" . . "Pilka, Radovan" . "HELLP syndrom komplikovan\u00FD rupturou jater - kazuistika"@cs . "Lattov\u00E1, Veronika" . "15110" . "C\u00EDl pr\u00E1ce: Popis p\u0159\u00EDpadu HELLP (hemolysis, elevated liver enzymes, low plateled count) syndromu komplikovan\u00E9ho rupturou jater v 36. t\u00FDdnu t\u011Bhotenstv\u00ED. Typ pr\u00E1ce: Kazuistika. N\u00E1zev a s\u00EDdlo pracovi\u0161t\u011B: Fakultn\u00ED nemocnice Olomouc, Porodnicko-gynekologick\u00E1 klinika. Vlastn\u00ED pozorov\u00E1n\u00ED: Prezentujeme p\u0159\u00EDpad 31let\u00E9 pacientky, kter\u00E1 p\u0159i\u0161la ve 36. t\u00FDdnu t\u011Bhotenstv\u00ED s bolestmi v epigastriu trvaj\u00EDc\u00EDmi asi 14 dn\u00ED. Posledn\u00EDch 10 hodin se obt\u00ED\u017Ee zv\u00FDraznily. P\u0159i p\u0159\u00EDjmu byla pacientka bled\u00E1, s opakovan\u011B nem\u011B\u0159iteln\u00FDm krevn\u00EDm tlakem a s otoky doln\u00EDch kon\u010Detin. Akutn\u011B byl proveden c\u00EDsa\u0159sk\u00FD \u0159ez, p\u0159i n\u011Bm\u017E byla diagnostikov\u00E1na ruptura jater. D\u00EDky kvalitn\u00ED mezioborov\u00E9 spolupr\u00E1ci se poda\u0159ilo zachr\u00E1nit jak pacientku, tak i jej\u00ED d\u00EDt\u011B. Z\u00E1v\u011Br: Jednou z nejz\u00E1va\u017En\u011Bj\u0161\u00EDch komplikac\u00ED HELLP syndromu je ruptura jater. Vyskytuje se v 3,8 % p\u0159\u00EDpad\u016F [11]. \u0158e\u0161en\u00ED t\u00E9to komplikace spo\u010D\u00EDv\u00E1 v akutn\u00ED chirurgick\u00E9 intervenci. Jde o suturu jater hlubok\u00FDmi matracov\u00FDmi stehy, p\u0159ilo\u017Een\u00EDm hemostatick\u00FDch materi\u00E1l\u016F, komprimace jater Mikuliczovou tampon\u00E1dou \u010Di podvazem jatern\u00ED tepny. Mo\u017En\u00E9 je u\u017Eit\u00ED omentoplastiky. P\u0159i nutnosti resekce \u010D\u00E1sti jater pro nekrotick\u00E1 lo\u017Eiska se s v\u00FDhodou pou\u017E\u00EDv\u00E1 argon koagula\u010Dn\u00ED" . "79" . "\u010Cesk\u00E1 gynekologie" . . . "C\u00EDl pr\u00E1ce: Popis p\u0159\u00EDpadu HELLP (hemolysis, elevated liver enzymes, low plateled count) syndromu komplikovan\u00E9ho rupturou jater v 36. t\u00FDdnu t\u011Bhotenstv\u00ED. Typ pr\u00E1ce: Kazuistika. N\u00E1zev a s\u00EDdlo pracovi\u0161t\u011B: Fakultn\u00ED nemocnice Olomouc, Porodnicko-gynekologick\u00E1 klinika. Vlastn\u00ED pozorov\u00E1n\u00ED: Prezentujeme p\u0159\u00EDpad 31let\u00E9 pacientky, kter\u00E1 p\u0159i\u0161la ve 36. t\u00FDdnu t\u011Bhotenstv\u00ED s bolestmi v epigastriu trvaj\u00EDc\u00EDmi asi 14 dn\u00ED. Posledn\u00EDch 10 hodin se obt\u00ED\u017Ee zv\u00FDraznily. P\u0159i p\u0159\u00EDjmu byla pacientka bled\u00E1, s opakovan\u011B nem\u011B\u0159iteln\u00FDm krevn\u00EDm tlakem a s otoky doln\u00EDch kon\u010Detin. Akutn\u011B byl proveden c\u00EDsa\u0159sk\u00FD \u0159ez, p\u0159i n\u011Bm\u017E byla diagnostikov\u00E1na ruptura jater. D\u00EDky kvalitn\u00ED mezioborov\u00E9 spolupr\u00E1ci se poda\u0159ilo zachr\u00E1nit jak pacientku, tak i jej\u00ED d\u00EDt\u011B. Z\u00E1v\u011Br: Jednou z nejz\u00E1va\u017En\u011Bj\u0161\u00EDch komplikac\u00ED HELLP syndromu je ruptura jater. Vyskytuje se v 3,8 % p\u0159\u00EDpad\u016F [11]. \u0158e\u0161en\u00ED t\u00E9to komplikace spo\u010D\u00EDv\u00E1 v akutn\u00ED chirurgick\u00E9 intervenci. Jde o suturu jater hlubok\u00FDmi matracov\u00FDmi stehy, p\u0159ilo\u017Een\u00EDm hemostatick\u00FDch materi\u00E1l\u016F, komprimace jater Mikuliczovou tampon\u00E1dou \u010Di podvazem jatern\u00ED tepny. Mo\u017En\u00E9 je u\u017Eit\u00ED omentoplastiky. P\u0159i nutnosti resekce \u010D\u00E1sti jater pro nekrotick\u00E1 lo\u017Eiska se s v\u00FDhodou pou\u017E\u00EDv\u00E1 argon koagula\u010Dn\u00ED"@cs . . "Horv\u00E1thov\u00E1, Kate\u0159ina" . "Proch\u00E1zka, Martin" . "5"^^ . "RIV/61989592:15110/14:33151103!RIV15-MSM-15110___" . "7"^^ . . . . "18923" . "HELLP syndrom komplikovan\u00FD rupturou jater - kazuistika" . "3" . . . "HELLP syndrom komplikovan\u00FD rupturou jater - kazuistika"@cs . . "HELLP syndrom komplikovan\u00FD rupturou jater - kazuistika" . "I" . "CZ - \u010Cesk\u00E1 republika" . "RIV/61989592:15110/14:33151103" . "diaphragm rupture; liver rupture; HELLP syndrome"@en . . "Sou\u010Dkov\u00E1, Marie" . "7"^^ . . . "[29505C864873]" . "Objective: A case of HELLP syndrome complicated by liver rupture in the 36th week of pregnancy. Designs: A case report. Setting: Department of Obstetrics and Gynaecology, FN Olomouc. Case report: The authors report a case of 31 years old female patient who came to the hospital at 36th week of pregnancy with epigastric pain lasting about 14 days. The problems became worse in the last 10 hours. At admission, the patient was pale with repeatedly unmeasurable blood pressure, and she had lower limbs oedema. There was performed the caesarian section, during the operation the liver rupture was found. Both, patient and her baby, was saved thanks to the concerted interdisciplinary team work. Conclusion: One of the most serious complications of HELLP syndrome is liver rupture. It occurs in 3.8% of HELLP syndrome cases. The solution of this complication is to perform an acute operation. The operation is based on liver suture with application of deep mattress suture, applying hemostatic materials, liver compression by Mikulicz's tamponade or ligation of liver artery. There is also possibility to use omentoplasty. If there is necessity of liver resection for necrotic focus, the argon coagulative laser is used preferably."@en . . . . "HELLP syndrome complicated by liver rupture - case report"@en . . . "Mal\u00FD, Tom\u00E1\u0161" .