Hepatic involvement in HELLP syndrome: an update with emphasis on imaging features

Verfasser / Beitragende:
[Laetitia Perronne, Anthony Dohan, Paul Bazeries, Youcef Guerrache, Audrey Fohlen, Pascal Rousset, Christophe Aubé, Valérie Laurent, Olivier Morel, Mourad Boudiaf, Christine Hoeffel, Philippe Soyer]
Ort, Verlag, Jahr:
2015
Enthalten in:
Abdominal Imaging, 40/7(2015-10-01), 2839-2849
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00261-015-0481-1  |2 doi 
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245 0 0 |a Hepatic involvement in HELLP syndrome: an update with emphasis on imaging features  |h [Elektronische Daten]  |c [Laetitia Perronne, Anthony Dohan, Paul Bazeries, Youcef Guerrache, Audrey Fohlen, Pascal Rousset, Christophe Aubé, Valérie Laurent, Olivier Morel, Mourad Boudiaf, Christine Hoeffel, Philippe Soyer] 
520 3 |a HELLP syndrome, which consists of hemolysis, elevated liver enzymes, and low platelet count is an unusual complication of pregnancy that is observed in only 10% to 15% of women with preeclampsia. Hepatic involvement in HELLP syndrome may present with various imaging features depending on the specific condition that includes nonspecific abnormalities such as perihepatic free fluid, hepatic steatosis, liver enlargement, and periportal halo that may precede more severe conditions such as hepatic hematoma and hepatic rupture with hemoperitoneum. Maternal clinical symptoms may be nonspecific and easily mistaken for a variety of other conditions that should be recognized. Because hepatic hematoma occurring in association with preeclampsia and HELLP syndrome is a potentially life-threatening complication, prompt depiction is critical and may help reduce morbidity and mortality. This review provides an update on demographics, risk factors, pathophysiology, and clinical features of hepatic complications due to HELLP syndrome along with a special emphasis on the imaging features of these uncommon conditions. 
540 |a Springer Science+Business Media New York, 2015 
690 7 |a HELLP syndrome  |2 nationallicence 
690 7 |a Pregnancy complications  |2 nationallicence 
690 7 |a Imaging  |2 nationallicence 
690 7 |a Transcatheter arterial embolization  |2 nationallicence 
690 7 |a Hepatic hematoma  |2 nationallicence 
690 7 |a Hepatic infarct  |2 nationallicence 
690 7 |a Hepatic rupture  |2 nationallicence 
690 7 |a Preeclampsia  |2 nationallicence 
690 7 |a MDCT  |2 nationallicence 
690 7 |a Ultrasonography  |2 nationallicence 
700 1 |a Perronne  |D Laetitia  |u Department of Abdominal Imaging, Hôpital Lariboisière-APHP, 2, Rue Ambroise Paré, 75010, Paris, France  |4 aut 
700 1 |a Dohan  |D Anthony  |u Department of Abdominal Imaging, Hôpital Lariboisière-APHP, 2, Rue Ambroise Paré, 75010, Paris, France  |4 aut 
700 1 |a Bazeries  |D Paul  |u Department of Radiology, CHU d'Angers, 4 Rue Larrey, 49933, Angers Cedex 9, France  |4 aut 
700 1 |a Guerrache  |D Youcef  |u Department of Abdominal Imaging, Hôpital Lariboisière-APHP, 2, Rue Ambroise Paré, 75010, Paris, France  |4 aut 
700 1 |a Fohlen  |D Audrey  |u Department of Imaging, CHU de Caen, Avenue de la Côte-de-Nacre, 14033, Caen Cedex 9, France  |4 aut 
700 1 |a Rousset  |D Pascal  |u Department of Radiology, Centre Hospitalier Lyon Sud, Hospices Civils de Lyon, Claude Bernard University Lyon 1, 165 Chemin du Grand Revoyet, 69495, Pierre Bénite, France  |4 aut 
700 1 |a Aubé  |D Christophe  |u Department of Radiology, CHU d'Angers, 4 Rue Larrey, 49933, Angers Cedex 9, France  |4 aut 
700 1 |a Laurent  |D Valérie  |u Department of Radiology, CHU Nancy-Brabois, Université de Lorraine, Allée du Morvan, 54511, Nancy Cedex, France  |4 aut 
700 1 |a Morel  |D Olivier  |u Obstetrics and Fetal-Medicine Unit, CHU de Nancy, Université de Lorraine, 10, Rue Heydenreich, 54000, Nancy, France  |4 aut 
700 1 |a Boudiaf  |D Mourad  |u Department of Abdominal Imaging, Hôpital Lariboisière-APHP, 2, Rue Ambroise Paré, 75010, Paris, France  |4 aut 
700 1 |a Hoeffel  |D Christine  |u Department of Radiology, Hôpital Robert Debré, 11 Boulevard Pasteur, 51092, Reims, France  |4 aut 
700 1 |a Soyer  |D Philippe  |u Department of Abdominal Imaging, Hôpital Lariboisière-APHP, 2, Rue Ambroise Paré, 75010, Paris, France  |4 aut 
773 0 |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/7(2015-10-01), 2839-2849  |x 0942-8925  |q 40:7<2839  |1 2015  |2 40  |o 261 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Perronne  |D Laetitia  |u Department of Abdominal Imaging, Hôpital Lariboisière-APHP, 2, Rue Ambroise Paré, 75010, Paris, France  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Dohan  |D Anthony  |u Department of Abdominal Imaging, Hôpital Lariboisière-APHP, 2, Rue Ambroise Paré, 75010, Paris, France  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Bazeries  |D Paul  |u Department of Radiology, CHU d'Angers, 4 Rue Larrey, 49933, Angers Cedex 9, France  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Guerrache  |D Youcef  |u Department of Abdominal Imaging, Hôpital Lariboisière-APHP, 2, Rue Ambroise Paré, 75010, Paris, France  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Fohlen  |D Audrey  |u Department of Imaging, CHU de Caen, Avenue de la Côte-de-Nacre, 14033, Caen Cedex 9, France  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Rousset  |D Pascal  |u Department of Radiology, Centre Hospitalier Lyon Sud, Hospices Civils de Lyon, Claude Bernard University Lyon 1, 165 Chemin du Grand Revoyet, 69495, Pierre Bénite, France  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Aubé  |D Christophe  |u Department of Radiology, CHU d'Angers, 4 Rue Larrey, 49933, Angers Cedex 9, France  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Laurent  |D Valérie  |u Department of Radiology, CHU Nancy-Brabois, Université de Lorraine, Allée du Morvan, 54511, Nancy Cedex, France  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Morel  |D Olivier  |u Obstetrics and Fetal-Medicine Unit, CHU de Nancy, Université de Lorraine, 10, Rue Heydenreich, 54000, Nancy, France  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Boudiaf  |D Mourad  |u Department of Abdominal Imaging, Hôpital Lariboisière-APHP, 2, Rue Ambroise Paré, 75010, Paris, France  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hoeffel  |D Christine  |u Department of Radiology, Hôpital Robert Debré, 11 Boulevard Pasteur, 51092, Reims, France  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Soyer  |D Philippe  |u Department of Abdominal Imaging, Hôpital Lariboisière-APHP, 2, Rue Ambroise Paré, 75010, Paris, France  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/7(2015-10-01), 2839-2849  |x 0942-8925  |q 40:7<2839  |1 2015  |2 40  |o 261