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[Upper abdominal pain and pre-eclampsia--HELLP syndrome].

C Byrjalsen1, O Kierkegaard, P Kruse

  • 1Gynaekologisk/obstetrisk afdeling, Herning Centralygehus.

Ugeskrift for Laeger
|October 1, 1990
PubMed
Summary

A pregnant woman with upper abdominal pain was diagnosed with HELLP syndrome, a serious condition involving hemolysis, elevated liver enzymes, and low platelets. Early screening for preeclampsia symptoms is recommended to detect this critical illness.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Critical Care in Pregnancy

Background:

  • Preeclampsia is a serious pregnancy complication characterized by high blood pressure and organ damage.
  • HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelets) is a severe variant of preeclampsia, posing significant risks to both mother and fetus.
  • Timely diagnosis and management are crucial for improving outcomes in severe preeclampsia and HELLP syndrome.

Observation:

  • A 26-year-old primiparous woman at 30 weeks gestation presented with right upper quadrant abdominal pain.
  • Clinical signs included localized tenderness, edema, hypertension, and proteinuria.
  • Initial ultrasound ruled out gallbladder pathology.

Findings:

  • Laboratory results indicated Hemolysis, Elevated Liver enzymes, and Low Platelet count, consistent with HELLP syndrome.

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  • The patient underwent cesarean section due to the suspected diagnosis.
  • The clinical presentation highlighted the overlap between severe preeclampsia and HELLP syndrome.

    • Implications:

    • Suggests the importance of screening pregnant women with upper abdominal symptoms suggestive of preeclampsia.
    • Recommends measuring platelet count and liver enzymes as part of the diagnostic workup for suspected preeclampsia.
    • Emphasizes the need for heightened clinical suspicion and prompt diagnostic testing for HELLP syndrome in pregnant patients.