Eclampsia and HELLP Syndrome: A Case Report
Keywords:
HELLP syndrome, Eclampsia, microangiopathic hemolytic anemia, acute kidney injury, multiorgan failure.Abstract
Background: The HELLP syndrome is characterized by hemolysis (H), elevated liver enzymes (EL) and low platelet count (LP). This syndrome in general complicates 0.2–0.6% of all pregnancies but its incidence increases to 4–12% in severe preeclampsia. In about 15% cases, HELLP syndrome presents without definitive criteria for preeclampsia (atypical preeclampsia).
Case presentation: We describe a 38-year-old second gravida woman who presented with signs of HELLP, with seizures at 32 weeks of gestation, and required emergent delivery of the foetus. The patient also sustained ARDS, cardiac arrest, acute kidney injury requiring haemodialysis and a prolonged intensive care management. With supportive care, clinical status, all laboratory derangements, including renal function, normalised after 4 weeks.
Conclusion: Timely diagnosis and appropriate intervention facilitated recovery and discharge of, the patient, in good general condition, after 32 days of hospitalization.
