The Experts below are selected from a list of 1323 Experts worldwide ranked by ideXlab platform
Steven D. Schwaitzberg - One of the best experts on this subject based on the ideXlab platform.
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Liver Hematoma AND RUPTURE IN PREGNANCY
Seminars in perinatology, 1998Co-Authors: Steven J. Ralston, Steven D. SchwaitzbergAbstract:Liver Hematoma and rupture is a rare but devastating complication of pregnancy. The majority of cases have been associated with severe preeclampsia, but unlike typical preeclampsia, it is a disease of older, multiparous patients. Although there are predictable findings on Liver pathology, the underlying pathophysiology is poorly understood. Early recognition and prompt surgical intervention are crucial to reduce the high fetal and maternal mortality rate associated with this disease.
Horst-dieter Becker - One of the best experts on this subject based on the ideXlab platform.
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subcapsular Liver Hematoma in hellp syndrome evaluation of diagnostic and therapeutic options a unicenter study
American Journal of Obstetrics and Gynecology, 2004Co-Authors: Corinna Wicke, Philippe L Pereira, Eva Neeser, Ingo Flesch, Enno A Rodegerdts, Horst-dieter BeckerAbstract:Abstract Objective Subcapsular Liver Hematoma formation has been reported in less than 2% of pregnancies complicated by HELLP (hemolysis, elevated Liver enzymes, low platelets) syndrome. The purpose of this study was to identify the main diagnostic and therapeutic options for management of these patients. Study design In this 10-year retrospective review, we performed a computer-directed search of all cases of confirmed HELLP syndrome with hepatic Hematoma treated in the surgical department of our tertiary care referral medical center. Results Five patients with subcapsular Liver Hematoma in HELLP syndrome could be identified. All patients received transabdominal ultrasound, computed tomography, or magnetic resonance imaging. Conservative treatment was successful in three patients. Emergency surgical intervention was necessary in two patients, including one Liver transplantation. Conclusion The case series shows the full diagnostic spectrum with transabdominal ultrasound, computed tomography, and magnetic resonance imaging, as well as the different therapeutic options varying from conservative therapy to operative management, including Liver transplantation.
Steven J. Ralston - One of the best experts on this subject based on the ideXlab platform.
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Liver Hematoma AND RUPTURE IN PREGNANCY
Seminars in perinatology, 1998Co-Authors: Steven J. Ralston, Steven D. SchwaitzbergAbstract:Liver Hematoma and rupture is a rare but devastating complication of pregnancy. The majority of cases have been associated with severe preeclampsia, but unlike typical preeclampsia, it is a disease of older, multiparous patients. Although there are predictable findings on Liver pathology, the underlying pathophysiology is poorly understood. Early recognition and prompt surgical intervention are crucial to reduce the high fetal and maternal mortality rate associated with this disease.
Erum Iqbal - One of the best experts on this subject based on the ideXlab platform.
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dual antiplatelet agent induced spontaneous Liver Hematoma
Annals of Pharmacotherapy, 2012Co-Authors: Omar S. Darwish, Erum IqbalAbstract:OBJECTIVE:To report a case of a spontaneous Liver Hematoma in a patient receiving dual antiplatelet therapy for 5 years after coronary stent implantation.CASE SUMMARY:A 76-year-old man with coronary artery disease presented to the hospital with acute right upper quadrant pain. He had been taking clopidogrel 75 mg/day, a P2Y12 inhibitor, and aspirin 81 mg/day for 5 years after having a drug-eluting stent (DES) placed. Given a drop in hemoglobin (from 13.0 g/dL to 8.6 g/dL) and elevated Liver enzymes, subsequent studies were performed and revealed a large Liver Hematoma. Clopidogrel and aspirin were discontinued. Aspirin was restarted 1 month later; there was no recurrence of bleeding.DISCUSSION:Current guidelines recommend that a P2Y12 inhibitor and aspirin after DES implantation be given for at least 12 months. However, because of concern for late stent thrombosis, some clinicians encourage patients to continue taking dual antiplatelet therapy beyond this period as long as the risk of bleeding is low. An ...
Corinna Wicke - One of the best experts on this subject based on the ideXlab platform.
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subcapsular Liver Hematoma in hellp syndrome evaluation of diagnostic and therapeutic options a unicenter study
American Journal of Obstetrics and Gynecology, 2004Co-Authors: Corinna Wicke, Philippe L Pereira, Eva Neeser, Ingo Flesch, Enno A Rodegerdts, Horst-dieter BeckerAbstract:Abstract Objective Subcapsular Liver Hematoma formation has been reported in less than 2% of pregnancies complicated by HELLP (hemolysis, elevated Liver enzymes, low platelets) syndrome. The purpose of this study was to identify the main diagnostic and therapeutic options for management of these patients. Study design In this 10-year retrospective review, we performed a computer-directed search of all cases of confirmed HELLP syndrome with hepatic Hematoma treated in the surgical department of our tertiary care referral medical center. Results Five patients with subcapsular Liver Hematoma in HELLP syndrome could be identified. All patients received transabdominal ultrasound, computed tomography, or magnetic resonance imaging. Conservative treatment was successful in three patients. Emergency surgical intervention was necessary in two patients, including one Liver transplantation. Conclusion The case series shows the full diagnostic spectrum with transabdominal ultrasound, computed tomography, and magnetic resonance imaging, as well as the different therapeutic options varying from conservative therapy to operative management, including Liver transplantation.