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Delayed Postpartum Hemolysis, Elevated Liver Enzymes, and Low Platelets Syndrome Successfully Treated with Dexamethasone

Kim TH, Kim N, Park JY, Oh KJ, Hong JS

The treatment of choice for preeclampsia is delivery. However, delivery is not always the end of preeclampsia. We present a case of preeclampsia complicated by postpartum hemolysis, elevated liver enzymes,...
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An anesthetic experience in severe preeclampsia patient suspected HELLP syndrome with an intraperitoneal hemorrhage caused by a rapidly progressed liver rupture: A case report

Heo HJ, Kim H, Lee JH, Im SM, Kim OH, Lee HG

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...
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Spontaneous Hepatic Rupture in a Pregnant Woman with Preeclampsia: An Autopsy Case

Park JH, Lee YS, Oh YH, Oh SM, Kim HG, Na JY

Spontaneous hepatic rupture, which is a complication of hypertension in pregnancy, is extremely rare. However, high maternal and perinatal mortality rates are observed. Several factors, namely, age over 30 years,...
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A Case Report of the Nutrition Support for a Patient with HELLP Syndrome

Yeon SE, Kim SJ, Kim JH, Chung HY, Na SH, Lee SM

A 30-year-old female patient, 18 weeks gestational age, with no prior medical history was admitted to hospital complaining severe right upper quadrant pain. The patient was admitted to intensive care...
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HELLP syndrome in a pregnant patient with Gitelman syndrome

Lee M, Kim DI, Lee KH, Byun JH, Hwang J, Hwang WM, Yun SR, Yoon SH

Gitelman syndrome is characterized by hypokalemia, metabolic alkalosis, hypocalciuria, and hypomagnesemia. The clinical course of Gitelman syndrome in pregnant women remains unclear, but it is thought to be benign. We...
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Hepatic infarction in a pregnant woman with antiphospholipid syndrome and triple antibody positivity: A case report focusing on catastrophic antiphospholipid syndrome

Kim JH, Yee C, Kuk JY, Choi SJ, Oh SY, Roh CR, Kim JH

Pregnant women with antiphospholipid syndrome (APS) carry a high risk of arterial or venous thrombosis. Such thrombotic conditions occur more frequently in patients with triple positivity to antiphospholipid antibodies or...
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Transfusion Related Acute Lung Injury after Cesarean Section in a Patient with HELLP Syndrome

Moon KM, Han MS, Rim CB, Kim SR, Shin SH, Kang MS, Lee JH, Kim J, Kim SI

Transfusion-related acute lung injury (TRALI) is a serious adverse reaction of transfusion, and presents as hypoxemia and non-cardiogenic pulmonary edema within 6 hours of transfusion. A 14-year-old primigravida woman at...
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Hepatic Rupture Caused by Hemolysis, Elevated Liver Enzyme, and Low Platelet Count Syndrome: A Case Report with Computed Tomographic and Conventional Angiographic Findings

Lee CB, Ahn JH, Choi SJ, Lee JH, Park MS, Jung SM, Ryu DS

  • KMID: 2322597
  • J Korean Soc Radiol.
  • 2013 May;68(5):407-410.
The authors recently obtained successful clinical outcome after embolization of the hepatic artery and right inferior phrenic artery in a pregnant patient with hemolysis, elevated liver enzyme, and low platelet...
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Ovarian stimulation and liver dysfunction: Is a clinical relationship possible? A case of hepatic failure after repeated cycles of ovarian stimulation

Giugliano , Cagnazzo E, Pansini G, Vesce F, Marci R

Liver damage induced by ovarian stimulation has been demonstrated in some cases reported in the literature. However, there has never been a fruitful debate on this topic. The present manuscript...
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Anesthetic management of HELLP syndrome complicating primary antiphospholipid syndrome: A case report

Jo YY, Lee KC, Kim HS, Bae HK, Chang YJ

Antiphospholipid syndrome (APS) is defined as an autoimmune disorder characterized by recurrent thrombosis or obstetrical morbidity. A 29-year-old woman who was diagnosed with APS underwent emergency cesarean delivery at 23...
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Thrombotic thrombocytopenic purpura in three pregnancies

Yoon WS, Lee JW, Kim YH, Ahn HY, Shin JC

Thromobotic thrombocytopenic purpura-hemolytic uremic syndrome (TTP-HUS), characterized by microangiopathic hemolytic anemia, thrombocytopenia, fever, central nervous system abnormalities, and renal dysfunction, is severe multisystem disorder. TTP-HUS occurs predominantly in the reproductive...
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A Case of Acute Fatty Liver of Pregnancy with Renal Subcapsular Hemorrhage

Ahn CY, Ryu BK, Chung JH, Kim HL

  • KMID: 2080124
  • Korean J Nephrol.
  • 2010 Nov;29(6):807-812.
Wunderlich syndrome is a spontaneous rupture of the kidney. It is a rare but potentially life-threatening event. The causes are tumor, vascular disease, infection and preeclampsia. Subcapsular hepatic and renal...
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Recent trend in management of the HELLP syndrome

Kim SJ

  • KMID: 2273714
  • Korean J Obstet Gynecol.
  • 2009 May;52(5):499-507.
Hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome is considered to be a severe form of preeclampsia. Preeclampsia is a multi system disease of pregnancy associated with a significant...
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Intracerebral hemorrhage in a patient with preeclampsia and HELLP syndrome which was diagnosed after caesarean section : A case report

Song JG, Kim SK, Eun JH

Intracerebral hemorrhage (ICH) is one of very dangerous complications of preeclampsia/eclampsia. We experienced postoperative ICH in a 39-year-old woman with preeclampsia and HELLP syndrome. The paturient complained severe headache and...
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A case of HELLP syndrome accompanied by retinal detachment

Jung SY, Shin J, Jeon EJ, Oh JH, Jeong JJ, Han NI, Choi SW

  • KMID: 2081648
  • Korean J Med.
  • 2009 Apr;76(Suppl 1):S22-S25.
Weinstein et al. first described the HELLP (hemolytic anemia, elevated liver enzymes, and low platelets) syndrome in 1982. The incidence of HELLP syndrome is 0.2~0.6% in normal pregnant women and...
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Perinatal outcome of preterm infants born to severe pregnancy induced hypertension mothers with or without HELLP syndrome

Kim MJ, Kim SY, Song ES, Choi YY, Kim YH, Song TB

  • KMID: 1980194
  • Korean J Perinatol.
  • 2009 Mar;20(1):44-51.
PURPOSE:The aim of this study was to compare the perinatal outcome of preterm infants born to severe pregnancy induced hypertension (PIH) mothers according to the presence or absence of HELLP...
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The Use of Remifentanil during General Anesthesia for Emergency Cesarean Section in a Patient with HELLP Syndrome: A case report

Kim JH, Park JS, Baek DJ, Lee SI, Kim JY, Choe WJ, Kim KT, Kim JW

HELLP syndrome (Hemolysis, Elevated Liver enzymes, and a Low Platelet count) is a severe complication of preeclampsia or eclampsia, and is associated with a high risk of maternal and neonatal...
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Acute Airway Obstruction by a Retropharyngeal Hematoma when Performing Internal Jugular Vein Cannulation in a Patient with HELLP Syndrome: A case report

Kim YS, Lee JH

Retropharyngeal hematoma is a rare, but a life-threatening complication when an internal jugular vein cannulation is performed in a patient with thrombocytopenia and coagulopathy. This report presents the case of...
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Anesthetic Management of a Patient with Postpartum HELLP Syndrome: A case report

Kim SK, Kwon MA, Eun JH, Kim SH

Hemolysis, elevated liver enzymes, and low platelet counts (HELLP) syndrome is one of the serious obstetric complications. The pathophysiology, diagnosis and treatment have not yet yet completely defined. HELLP syndrome...
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Maternal-neonatal outcome in HELLP syndrome and severe preeclampsia

Jin KH, Kim MJ, Ahn HY, Kil KC, Park IY, Lee Y, Lee GS, Shin JC, Kim SJ

  • KMID: 2077784
  • Korean J Obstet Gynecol.
  • 2007 Oct;50(10):1308-1312.
OBJECTIVE: To assess the clinical characteristics, laboratory findings, the maternal and neonatal complications between HELLP syndrome and severe preeclampsia. METHODS: We reviewed the material and neonatal charts of 34 pregnancies complicated...
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