[The HELLP syndrome: report of 11 cases]

Being an independent entity or a type of eclampsia, the HELLP syndrome always represent a serious complication of the renovascular disease. This retrospective study realised during five years revealed 11 cases including 3 cases occurring in the post partum. For all this patients, this complication happened during the 3rd term of pregnancy. The mean period of gestation when it occurred was the 34th week of pregnancy. In 36% of cases, the discovery of the HELLP syndrome was fortuitous by routine laboratory tests. The symptoms and signs are dominated by the digestive ones. In case of severe maternal complication or when the foetal lungs reach maturity, the interruption of pregnancy is the rule. In the other cases, expectative attitude with an intense observation may be proposed when the 32nd week of pregnancy isn't reached.