Progressing haemolysis, elevated liver enzymes, low platelet count syndrome: near miss case

Authors

  • Urvashi Verma Department of Obstetrics and Gynecology, S. N. Medical College, Agra, Uttar Pradesh, India
  • Shruti Agarwal Department of Obstetrics and Gynecology, S. N. Medical College, Agra, Uttar Pradesh, India
  • Sangita Sahu Department of Obstetrics and Gynecology, S. N. Medical College, Agra, Uttar Pradesh, India
  • Ajit Chahar Department of Medicine, S. N. Medical College, Agra, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20201827

Keywords:

Acute fatty liver of pregnancy, Elevated liver enzymes, Hemolytic uremic syndrome, Low platelet count, HELLP syndrome

Abstract

A 25 years old women presented in labour room with 30 weeks’ pregnancy in labour with breech with previous two caesarean section and scar tenderness with foetal bradycardia (FHR 90) and jaundice. After caesarean section in emergency hour she started bleeding in abdominal drain while uterus was well contracted. On investigation and examination diagnosed as HELLP syndrome, managed promptly by medical teams of three departments (obstetrician, anaesthesia and medicine).

References

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Kınay T, Kayıkçıoğlu F, Küçük C, Karakaya J. Severe preeclampsia versus HELLP syndrome: maternal and perinatal outcomes. Balkan Med J. 2015;32(4):359-63.

Colín-Cortes HM, Ruvalcaba-Carrillo R, Olivares-Revilla DM, Yáñez-Torres JD, Flores-Rodríguez JL, Rodríguez-Figueroa N, et al. Hepatic subcapsular hematoma in HELLP syndrome. Report of 2 cases. Ginecol Obstet de México. 2018;86(6):412-9.

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Published

2020-04-28

Issue

Section

Case Reports