[HELLP syndrome in the 26th week of pregnancy]

The HELLP-syndrome is the most severe form of pre-eclampsia. Fetal and maternal life is threatened because of missing prodromi and sudden onset of complications. This case report describes the development of HELLP-syndrome in a 26 y/o G1P0 in the 26th week of gestation. Clinical signs and changes in laboratory parameters lead to the diagnosis. No hypertension was stated. The pregnancy was terminated by cesarean section resulting in a viable 900 g female newborn, who was transferred to the neonatal intensive care unit. The patient's condition stabilized quickly after the delivery, symptoms decreased within 4 days.