Major liver resection in pregnancy: three cases with different etiologies and review of the literature.
Adult
Bile Duct Neoplasms
/ pathology
Bile Ducts, Intrahepatic
/ surgery
Cholangiocarcinoma
/ pathology
Echinococcosis, Hepatic
/ surgery
Female
Hemangioma
/ pathology
Hepatectomy
/ adverse effects
Humans
Kasabach-Merritt Syndrome
/ pathology
Liver Neoplasms
/ pathology
Pregnancy
Pregnancy Complications, Neoplastic
/ pathology
Pregnancy Complications, Parasitic
/ surgery
Pregnancy Outcome
Tumor Burden
Echinococcus
Liver hemangioma
cholangiocarcinoma
coagulopathy
hepatectomy
pregnancy
Journal
The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
ISSN: 1476-4954
Titre abrégé: J Matern Fetal Neonatal Med
Pays: England
ID NLM: 101136916
Informations de publication
Date de publication:
Jan 2019
Jan 2019
Historique:
pubmed:
6
9
2017
medline:
15
2
2019
entrez:
6
9
2017
Statut:
ppublish
Résumé
Major liver resection during pregnancy is extremely rare. When required, the associated physiologic and anatomic changes pose specific challenges and greater risk for both mother and fetus Materials and methods: Three cases of major liver resection during pregnancy due to different etiologies are presented. The relevant literature is reviewed and discussed. We present three cases of major liver resection due to giant liver hemangioma with Kasabach-Merrit syndrome, giant hydatid cyst, and intrahepatic cholangiocarcinoma, at gestational week (GW) 17, 19, and 30, respectively. All patients had an uneventful postoperative course, continued the pregnancy and gave birth at GW 38. Major liver resection can be performed safely during pregnancy. A multidisciplinary team of surgeons, anesthesiologists and gynecologists, in a highly experienced tertiary hepatobiliary center, should be involved.
Sections du résumé
BACKGROUND
BACKGROUND
Major liver resection during pregnancy is extremely rare. When required, the associated physiologic and anatomic changes pose specific challenges and greater risk for both mother and fetus Materials and methods: Three cases of major liver resection during pregnancy due to different etiologies are presented. The relevant literature is reviewed and discussed.
RESULTS
RESULTS
We present three cases of major liver resection due to giant liver hemangioma with Kasabach-Merrit syndrome, giant hydatid cyst, and intrahepatic cholangiocarcinoma, at gestational week (GW) 17, 19, and 30, respectively. All patients had an uneventful postoperative course, continued the pregnancy and gave birth at GW 38.
CONCLUSION
CONCLUSIONS
Major liver resection can be performed safely during pregnancy. A multidisciplinary team of surgeons, anesthesiologists and gynecologists, in a highly experienced tertiary hepatobiliary center, should be involved.
Identifiants
pubmed: 28870127
doi: 10.1080/14767058.2017.1376315
doi:
Types de publication
Case Reports
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
203-211Commentaires et corrections
Type : CommentIn