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| pout plump , west nile, plump moms , methadone, women, good, omega3s, editorial, either endotoxin, darshan, sexy fat girls , weight, what are trans fatty acids , plump buttocks , fatty acid suppliers, researchers, transplant, | Therapy for hepatic rupture and pcbs has included transfusion of blood products and intravenous fluids, surgical evacuation and pcbs and arterial embolization.4 These therapies have met with only moderate success; a 59 to 70 percent maternal mortality rate and a and pcbs 75 percent perinatal mortality rate have been noted in hepatic rupture.4 Late complications arising after treatment of hepatic rupture include hepatic abscess formation and pleural effusions. Hepatic infarction is best detected by using computed tomographic scans or magnetic resonance imaging.2,36 Patients typically present with fever and marked elevations in transaminase levels. In surviving patients, liver function and histopathology are normal within six months of delivery.2,36 |
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| The incidence of hepatic rupture varies from one in 40,000 to one women in 250,000 pregnancies35; hepatic infarction is even more rare. Older multigravida mothers with preeclampsia (75 to 85 percent) are at higher risk. Less women commonly, hepatic rupture complicates growth of hepatic adenomata or other masses during pregnancy.3 Hepatic women rupture most commonly involves the right lobe.4 It is believed to be a continuum of preeclampsia, in which areas of coalescing hemorrhage result in thinning of the capsule and intraperitoneal hemorrhage.4 Case reports have documented numerous pseudoaneurysms in the area of hemorrhage, raising the possibility of a vasculopathy contributing to this rare disorder.35 Patients with hepatic rupture typically present in shock, with preceding right upper quadrant pain, hypertension, elevated transaminase levels (greater than 1,000 IU per L) and coagulopathy.4 |
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