Anesth Pain Med.  2018 Oct;13(4):401-404. 10.17085/apm.2018.13.4.401.

An anesthetic experience in severe preeclampsia patient suspected HELLP syndrome with an intraperitoneal hemorrhage caused by a rapidly progressed liver rupture: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center, Jeonju, Korea.
  • 2Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. ingwei2475@naver.com

Abstract

The diagnosis of HELLP syndrome associated with preeclampsia-eclampsia during pregnancy uses three test results, including hemolysis, elevated liver enzyme, low platelets and their related clinical symptoms. Liver rupture is a life-threatening and rare complication related to HELLP syndrome. Early diagnosis and rapid treatment are very important for protecting the life of the patient and the fetus. We are reporting an anesthetic experience a sudden-onset suspicious HELLP syndrome with an intraperitoneal hemorrhage caused by a rapidly progressed liver rupture in a severe preeclampsia patient without any abnormalities during gestation.

Keyword

Eclampsia; HELLP syndrome; Liver; Pre-eclampsia; Rupture

MeSH Terms

Diagnosis
Early Diagnosis
Eclampsia
Female
Fetus
HELLP Syndrome*
Hemolysis
Hemorrhage*
Humans
Liver*
Pre-Eclampsia*
Pregnancy
Rupture*
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