Role of CT scan in diagnosis of HELLP syndrome: Radiologist’s perspective
Journal Title: International Archives of Integrated Medicine - Year 2017, Vol 4, Issue 2
Abstract
Background: HELLP syndrome is life threatening condition. Diagnosis of HELLP syndrome plays an important role in assessment of complication. It can be done by USG and CT scan. Objectives: The aim of this study was to define role of CT scan in assessment of HELLP syndrome. Materials and methods: A case report aimed at evaluation of patient who came with sign and symptoms of HELLP syndrome to Radiology Department of Dhiraj Hospital by using CT scan. Results: A 30 year old patient presented in post-partum state with fever, rigor, nausea and tenderness in the right hypochondrium. Case history showed patient had suffered from pre-eclampsia during childbirth. The Patient had undergone ultrasonography which gave a diagnosis of hepatomegaly with liver abscess. Her Blood investigation showed total count of 22700 with predominant polymorph of 70%, Hb- 4.7 gm, SGPT was 234, Patient has thrombocytopenia with platelet of 1.5 lac. She was subjected to pre and post contrast CT scan in Dhiraj general hospital which showed hepatosplenomegaly, multiple ill-defined hypodense lesions in both lobes of liver (HU value = 52-70) with perilesional oedema, suggestive of multiple liver hematomas with rupture of hematoma into the peritoneal space. Conclusion: CT scan plays the key-role in assessment of complications in pre-eclamptic postnatal patient with HELLP syndrome which may be missed by USG. There by helping in patient management and prognosis.
Authors and Affiliations
Niket Domadia, Harshit Bheda, Shashvat Modiya, Chandra Raychaudhari
Keywords
Related Articles
- EP ID EP408196
- DOI -
- Views 140
- Downloads 0
A study of the ECG changes associated with Organophosphorous compound poisoning
Introduction: Estimates from the World Health Organisation (WHO) indicate that 1 million accidental poisoning and 2 million suicide attempts involving pesticides occur the world over. Large proportion present to the ICU...
A rare case report of Ectopic Cervical Thymoma
The thymus, a lymphoepithelial organ, during the early fetal life originates from the superior neck and descends to the mediastinum. Embryological maldescent may lead to ectopic rests of thymic tissue along the pathway o...
Correlation of volume of both the kidneys in both the sexes among different age groups of normal North Indian population – An ultrasonographic study
Background: Dimensions of kidney form an extremely important parameter for diagnosis and prognosis of renal pathologies. Dimensions vary according to the geographical locations, racial variations, diet, environment and f...
A study of prevalence of microalbuminuria in non-diabetic non-hypertensive coronary artery disease
Background: Microalbuminuria is a marker of widespread vascular damage in diabetic as well as non-diabetic patients. However, more and more evidence is accumulating that microalbuminuria is an important cardiovascular ri...
Study of hypoglycemia in elderly diabetes mellitus
Background: The etiology of diabetes in India is multifactorial and includes genetic factors coupled with environmental influences such as obesity associated with rising living standards, steady urban migration, and life...