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Hellp syndrome and subcapsular liver haematoma
Maimoona Hafeez1, Sajeela Hameed
1Department of Obstetrics & Gynaecology, Lahore Medical and Dental College/Ghurki Trust Teaching Hospital, Lahore. maimoonahafeez_pk@yahoo.com
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|November 23, 2005
Summary
HELLP syndrome, a serious condition causing hemolysis and liver damage, can present unexpectedly. This case highlights its development post-delivery, even with mild hypertension and abruptio placentae.
Area of Science:
- Obstetrics and Gynecology
- Hematology
- Hepatology
Background:
- HELLP syndrome is a severe condition associated with high mortality and morbidity.
- Characterized by microangiopathic haemolysis, elevated liver enzymes, and low platelet counts.
- Hepatic complications include necrosis, hemorrhage, and rupture.
Observation:
- A case report of a patient with mild hypertension and abruptio placentae.
- The patient developed HELLP syndrome post-delivery.
- Complications included subcapsular liver hematoma and pleural effusion.
Findings:
- Microangiopathic hemolysis is a key feature of HELLP syndrome.
- Fibrin deposition in hepatic sinusoids obstructs blood flow, leading to liver damage.
- Severe cases can result in intrahepatic hemorrhage or hepatic rupture.
Implications:
- Early recognition and management of HELLP syndrome are crucial.
- This case underscores the potential for severe hepatic complications.
- Highlights the importance of monitoring liver function and coagulation status in at-risk pregnancies.