nmpЖурнал им. Н.В. Склифосовского «Неотложная медицинская помощь»Russian Sklifosovsky Journal "Emergency Medical Care"2223-90222541-8017“N.V. Sklifosovsky Research Institute for Emergency Medicine”10.23934/2223-9022-2022-11-3-476-483nmp-1450Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEWSРедкие виды спонтанных разрывов печени на фоне беременностиRare Types of Spontaneous Liver Ruptures During Pregnancyhttps://orcid.org/0000-0002-4556-4913СигуаБ. В.SiguaB. V.

Сигуа Бадри Валериевич доктор медицинских наук, профессор, профессор кафедры факультетской хирургии им. И.И. Грекова

191015, Санкт-Петербург, ул. Кирочная, д. 41

Badri V. Sigua Doctor of Medical Sciences, Professor of the Department of I.I. Grekov Faculty Surgery

191015, St. Petersburg, Kirochnaya St., 41

dr.sigua@gmail.comhttps://orcid.org/0000-0001-9932-810XРакитаС. Ю.RakitaS. Y.

Ракита Сергей Юрьевич клинический ординатор кафедры факультетской хирургии им. И.И. Грекова

191015, Санкт-Петербург, ул. Кирочная, д. 41

Sergey Y. Rakita Resident, I.I. Grekov Department of Faculty Surgery

191015, St. Petersburg, Kirochnaya St., 41

21rs@list.ruhttps://orcid.org/0000-0002-0410-817XКахианиЕ. И.KakhianiE. I.

Кахиани Екатерина Инвериевна доктор медицинских наук, профессор, заведующая кафедрой акушерства и гинекологии им. С.Н.Давыдова, декан педиатрического факультета

191015, Санкт-Петербург, ул. Кирочная, д. 41

Ekaterina I. Kakhiani Doctor of Medical Sciences, Professor, Head of S.N. Davydov Department of Obstetrics and Gyneoclogy, Dean of the Faculty of Pediatrics

191015, St. Petersburg, Kirochnaya St., 41

dr.ekaterina@mail.ruhttps://orcid.org/0000-0001-8893-0365ВеромейД.VeromejD.

Веромей Доминика клинический ординатор кафедры акушерства и гинекологии им. С.Н. Давыдова

191015, Санкт-Петербург, ул. Кирочная, д. 41

Dominyka Veromej Resident, S.N. Davydov Department of Obstetrics and Gyneoclogy

191015, St. Petersburg, Kirochnaya St., 41

dominykaveromej@gmail.comhttps://orcid.org/0000-0003-2329-0023ЗемлянойВ. П.ZemlyanoyV. P.

Земляной Вячеслав Петрович доктор медицинских наук, профессор, заведующий кафедрой факультетской хирургии им. И.И. Грекова, декан хирургического факультета

191015, Санкт-Петербург, ул. Кирочная, д. 41

Vyacheslav P. Zemlyanoy Doctor of Medical Sciences, Professor, Head of I.I. Grekov Department of Faculty Surgery, Dean of the Surgery Faculty

191015, St. Petersburg, Kirochnaya St., 41

zeml.spb@mail.ruФГБОУ ВО «Северо-Западный государственный медицинский университет им. И.И. Мечникова» МЗ РФРоссияI. I. Mechnikov North-Western State Medical UniversityRussian Federation202215102022113476483Copyright © Сигуа Б.В., Ракита С.Ю., Кахиани Е.И., Веромей Д., Земляной В.П., 20222022Сигуа Б.В., Ракита С.Ю., Кахиани Е.И., Веромей Д., Земляной В.П.Sigua B.V., Rakita S.Y., Kakhiani E.I., Veromej D., Zemlyanoy V.P.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jnmp.ru/jour/article/view/1450

Настоящий литературный обзор посвящен проблеме спонтанных разрывов печени у беременных. Его целью стало повышение информированности врачей как одного из методов улучшения ранней диагностики болезни, а также рассмотрения роли хирурга-гепатолога в рамках хирургического лечения редкого акушерского осложнения. Были рассмотрены основные звенья патогенеза разрывов печени, раскрыта проблема высокой материнской и перинатальной смертности. На основании данных литературы была определена наиболее оптимальная акушерская и хирургическая лечебно-диагностическая тактика ведения беременных со спонтанными разрывами печени.

This literature review is devoted to the problem of spontaneous liver ruptures in pregnant women. Its goal was to raise awareness among physicians as one of the methods to improve the early diagnosis of the disease, as well as to consider the role of the hepatological surgeon in the surgical treatment of rare obstetric diseases. The main links of the pathogenesis of liver ruptures were considered, the problem of high maternal and perinatal mortality was disclosed. Based on the literature data, the most optimal obstetric and surgical treatment and diagnostic tactics for managing pregnant women with spontaneous liver ruptures were determined.

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The authors declare that there are no conflicts of interest present.