HELLP Syndrome-A life threatening complication of severe pre eclampsia

Authors

  • Vidyadhar B Bangal Rural Medical College, Loni, Maharashtra
  • Milind B Chandurkar Rural Medical College of Pravara Institute of Medical Sciences (Deemed University) Loni, Maharashtra
  • Shalini Y. Sachdev Rural Medical College of Pravara Institute of Medical Sciences (Deemed University) Loni, Maharashtra
  • Rashmi K. Singh Rural Medical College of Pravara institute of Medical Sciences (Deemed University) Loni, Maharashtra
  • Rajiv M. Chandaliya Rural Medical College of Pravara Institute of Medical Sciences, (Deemed University) Loni, Maharashtra

DOI:

https://doi.org/10.7439/ijbar.v4i3.319

Abstract

HELLP Syndrome is a life threatening complication of severe pre eclampsia ,which is characterized by evidence of hemolysis, elevated liver enzymes and low platelet count during second half of pregnancy.If untreated , it carries high risk of maternal and perinatal morbidity and mortality due to hepatic and renal complications. A case of HELLP Syndrome with severe pre eclampsia in a primigravida at 39 weeks of pregnancy is reported. She was a known case of severe pre eclampsia and was taking treatment in a private nursing home.She was refered with a picture of HELLP Syndrome.Caesarean section under general anesthesia for fetal distress was carried out following single donar platelet transfusion. She had gross derrangement of hepatic and renal functions and thrombocytopenia following caesarean section. She was treated aggresively in intensive care unit with transfusion of whole blood ,fresh frozen plasma, multiple single donar platelet transfusions ,antihypertensive agents and broad spectrum antibiotics.Patient required multidisciplinary team approach for management.Patient was discharged after fifteen days from hospital.

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Author Biographies

  • Vidyadhar B Bangal, Rural Medical College, Loni, Maharashtra
    Professor and Head,Dept. of Obstetrics and Gynaecology,
  • Milind B Chandurkar, Rural Medical College of Pravara Institute of Medical Sciences (Deemed University) Loni, Maharashtra
    Associate Prof.Dept of Medicine

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Published

2013-04-01

Issue

Section

Case Report

How to Cite

HELLP Syndrome-A life threatening complication of severe pre eclampsia. (2013). International Journal of Biomedical and Advance Research, 4(3), 207-210. https://doi.org/10.7439/ijbar.v4i3.319