caa a22 4500 60549374X CHVBK 20210128100522.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s00261-015-0481-1 doi (NATIONALLICENCE)springer-10.1007/s00261-015-0481-1 Hepatic involvement in HELLP syndrome: an update with emphasis on imaging features [Elektronische Daten] [Laetitia Perronne, Anthony Dohan, Paul Bazeries, Youcef Guerrache, Audrey Fohlen, Pascal Rousset, Christophe Aubé, Valérie Laurent, Olivier Morel, Mourad Boudiaf, Christine Hoeffel, Philippe Soyer] 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. Springer Science+Business Media New York, 2015 HELLP syndrome nationallicence Pregnancy complications nationallicence Imaging nationallicence Transcatheter arterial embolization nationallicence Hepatic hematoma nationallicence Hepatic infarct nationallicence Hepatic rupture nationallicence Preeclampsia nationallicence MDCT nationallicence Ultrasonography nationallicence Perronne Laetitia Department of Abdominal Imaging, Hôpital Lariboisière-APHP, 2, Rue Ambroise Paré, 75010, Paris, France aut Dohan Anthony Department of Abdominal Imaging, Hôpital Lariboisière-APHP, 2, Rue Ambroise Paré, 75010, Paris, France aut Bazeries Paul Department of Radiology, CHU d'Angers, 4 Rue Larrey, 49933, Angers Cedex 9, France aut Guerrache Youcef Department of Abdominal Imaging, Hôpital Lariboisière-APHP, 2, Rue Ambroise Paré, 75010, Paris, France aut Fohlen Audrey Department of Imaging, CHU de Caen, Avenue de la Côte-de-Nacre, 14033, Caen Cedex 9, France aut Rousset Pascal 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 aut Aubé Christophe Department of Radiology, CHU d'Angers, 4 Rue Larrey, 49933, Angers Cedex 9, France aut Laurent Valérie Department of Radiology, CHU Nancy-Brabois, Université de Lorraine, Allée du Morvan, 54511, Nancy Cedex, France aut Morel Olivier Obstetrics and Fetal-Medicine Unit, CHU de Nancy, Université de Lorraine, 10, Rue Heydenreich, 54000, Nancy, France aut Boudiaf Mourad Department of Abdominal Imaging, Hôpital Lariboisière-APHP, 2, Rue Ambroise Paré, 75010, Paris, France aut Hoeffel Christine Department of Radiology, Hôpital Robert Debré, 11 Boulevard Pasteur, 51092, Reims, France aut Soyer Philippe Department of Abdominal Imaging, Hôpital Lariboisière-APHP, 2, Rue Ambroise Paré, 75010, Paris, France aut Abdominal Imaging Springer US; http://www.springer-ny.com 40/7(2015-10-01), 2839-2849 0942-8925 40:7<2839 2015 40 261 https://doi.org/10.1007/s00261-015-0481-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 review-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00261-015-0481-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Perronne Laetitia Department of Abdominal Imaging, Hôpital Lariboisière-APHP, 2, Rue Ambroise Paré, 75010, Paris, France aut NATIONALLICENCE 700 1- Dohan Anthony Department of Abdominal Imaging, Hôpital Lariboisière-APHP, 2, Rue Ambroise Paré, 75010, Paris, France aut NATIONALLICENCE 700 1- Bazeries Paul Department of Radiology, CHU d'Angers, 4 Rue Larrey, 49933, Angers Cedex 9, France aut NATIONALLICENCE 700 1- Guerrache Youcef Department of Abdominal Imaging, Hôpital Lariboisière-APHP, 2, Rue Ambroise Paré, 75010, Paris, France aut NATIONALLICENCE 700 1- Fohlen Audrey Department of Imaging, CHU de Caen, Avenue de la Côte-de-Nacre, 14033, Caen Cedex 9, France aut NATIONALLICENCE 700 1- Rousset Pascal 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 aut NATIONALLICENCE 700 1- Aubé Christophe Department of Radiology, CHU d'Angers, 4 Rue Larrey, 49933, Angers Cedex 9, France aut NATIONALLICENCE 700 1- Laurent Valérie Department of Radiology, CHU Nancy-Brabois, Université de Lorraine, Allée du Morvan, 54511, Nancy Cedex, France aut NATIONALLICENCE 700 1- Morel Olivier Obstetrics and Fetal-Medicine Unit, CHU de Nancy, Université de Lorraine, 10, Rue Heydenreich, 54000, Nancy, France aut NATIONALLICENCE 700 1- Boudiaf Mourad Department of Abdominal Imaging, Hôpital Lariboisière-APHP, 2, Rue Ambroise Paré, 75010, Paris, France aut NATIONALLICENCE 700 1- Hoeffel Christine Department of Radiology, Hôpital Robert Debré, 11 Boulevard Pasteur, 51092, Reims, France aut NATIONALLICENCE 700 1- Soyer Philippe Department of Abdominal Imaging, Hôpital Lariboisière-APHP, 2, Rue Ambroise Paré, 75010, Paris, France aut NATIONALLICENCE 773 0- Abdominal Imaging Springer US; http://www.springer-ny.com 40/7(2015-10-01), 2839-2849 0942-8925 40:7<2839 2015 40 261