A case report of HELLP syndrome
Journal Title: International Archives of Integrated Medicine - Year 2015, Vol 2, Issue 1
Abstract
HELLP syndrome is a serious complication in pregnancy characterized by hemolysis, elevated liver enzymes and low platelet count. This case demonstrated the importance of rapid and early diagnosis and treatment of HELLP syndrome to reduce maternal and perinatal mortality and morbidity. 26 years old, 2nd gravida with 31 weeks of gestation with severe pre-eclampsia was admitted to Department of Obstetrics and Gynecology at Civil Hospital, Ahmedabad. Patient suddenly developed epigastric pain, blood tinge urine (not frank hematuria) and decrease urine output within 24 hours of admission. Investigations revealed platelet count 44,300, serum bilirubin 12, direct bilirubin 3.44, and indirect bilirubin 8.56, SGPT 193.5 and was diagnosed as a HELLP syndrome class 1. She underwent cesarean section and there was dramatic improvement of her symptoms and all blood investigations (S. bilirubin, Platelet count) were declined to normal limit within 48 hours post operatively. HELLP syndrome, a variant of severe pre-eclampsia, if diagnosed and manage timely ensure favorable maternal and perinatal outcome.
Authors and Affiliations
Aesha A. Patel, Tushar M. Shah
Keywords
Related Articles
- EP ID EP506747
- DOI -
- Views 107
- Downloads 0
Prevalence of anemia and dyslipidemia in patients with Diabetes Mellitus Type 2
Introduction: Diabetes is the leading cause of dyslipidemia and is associated with excessive cardiovascular morbidity and mortality. Anemia is common among those with diabetes and greatly contributes to patient outcomes....
Detection of ESBL Producing Escherichia coli isolates from blood cultures and its effect on outcome of Sepsis Patients at a rural based tertiary care and teaching hospital in Vadodara district, Gujarat
Background: Sepsis is one of the most common clinical conditions that cause substantial morbidity and mortality all over the world. Blood culture is considered to be the gold standard for the identification of bacteria a...
Spectrum of salivary gland tumors - A five year study
Introduction: Salivary gland tumors are common neoplasms of head and neck region. These tumors are complex and exhibit great clinicopathological variation which may show racial and geographical differences. Aim: The aim...
Ultrasonography (USG) and multi-detector computerized tomography (MDCT) evaluation of thyroid swellings
Background: Thyroid ultrasound has undergone a dramatic transformation from the cryptic deflections on an oscilloscope produced in A-mode scanning, to barely recognizable B-mode images, followed by initial low resolution...
Factors affecting duration of untreated psychosis - A retrospective study done in general hospital setting
Background: Duration of the untreated psychosis has been predicted to be one of a factor which affects the outcome of disease and leading to poor prognosis in the patients. Previous studies had predicted that the longer...