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Spontaneous hepatic rupture caused by hemolysis, elevated liver enzymes, and low platelet count syndrome

Je Sung You1, Yong Eun Chung2, Hyun Soo Chung1

  • 1Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.

The American Journal of Emergency Medicine
|January 15, 2014
PubMed

The causes of hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome or hepatic hemorrhage as a serious complication of HELLP are not known. Although spontaneous hepatic rupture associated with HELLP syndrome is a rare complication of pregnancy, hepatic rupture results in life-threatening complications. The cornerstone of prognosis is early diagnosis. Hepatic rupture in HELLP syndrome should be considered a differential diagnosis in pregnant patients with sudden onset of abdominal pain or hypotension. We report a case of 30-year-old primigravida female with spontaneous hepatic rupture caused by HELLP syndrome as a presenting symptom of right upper quadrant abdominal pain.

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