Curious cases of spontaneous hepatic rupture - An autopsy based case series Patil PA1,*, Sangle DJ1, Mukherjee AA2 1Assistant Professor, Department of Forensic Medicine and Toxicology, Government Medical College, Nagpur 2Professor and Head, Department of Forensic Medicine and Toxicology, Government Medical College, Nagpur *Corresponding Author, Dr. P. A. Patil, Email: priyankapatil261221@gmail.com, Mobile No.: +91 9284539476
Online Published on 2 January, 2024. Abstract Spontaneous abdominal haemorrhage is defined as the presence of Intra-abdominal haemorrhage from non-traumatic and non-iatrogenic causes. Spontaneous hepatic rupture is one of the rare cause of intra-abdominal haemorrhage. Literature notifies causes of spontaneous hepatic rupture as hepatic adenoma, hepato-cellular carcinoma, HELLP syndrome (Hemolysis, elevated liver enzymes and low platelets) in pregnant females, cysts, haemangiomas, coagulopathies, banned substance abuse etc. Imaging techniques like Focused Abdominal Ultrasonogram for trauma (FAST) and Computed Tomography are standard imaging techniques for diagnosis of spontaneous hepatic rupture. Angiographic coiling, hepatic artery ligation, peri-hepatic packing, liver resection, liver transplantation are the management interventions to reduce morbidity and mortality in these cases. The present case series reports autopsy based examination of three rare cases of spontaneous liver rupture. An attempt to probe the cause of spontaneous liver rupture is made via meticulous autopsy examination. Top Keywords Spontaneous hepatic rupture, Focused abdominal ultrasonogram, HELLP syndrome, Autopsy. Top |