Журнал беременности и здоровья детей

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Postpartum HELLP Syndrome with Atypical Features: A Case Study

Iven Renee Hansen and Mohammed R Khalil

Introduction: HELLP syndrome is a severe and potentially life-threatening variant of pre-eclampsia, consisting of a triad of Hemolysis (H), Elevated Liver enzymes (EL) and Low Platelet count (LP). The majority of preeclampsia and HELLP syndrome cases develops in the last part of pregnancy and rarely establish postpartum.

Case presentation: A 28-year-old primiparous woman, without any known risk factors for developing preeclampsia, developed jaundice and general discomfort 1 day postpartum.

The patient was diagnosed with HELLP syndrome on the basis of laboratory and urine findings, despite a normal blood pressure, lack of hemolysis and an absence of typical symptoms. The patient showed kidney involvement, which is a rare and serious complication of HELLP syndrome. The patient rapidly and fully recovered, without any permanent kidney damage. Due to the short administration time of intravenous magnesium sulphate, there is reason to believe that the recovery occurred spontaneously.

Conclusion: This case reports what may be an atypical presentation of postpartum HELLP syndrome.