Korean J Anesthesiol.  2008 Apr;54(4):464-468. 10.4097/kjae.2008.54.4.464.

Anesthetic Management of a Patient with Postpartum HELLP Syndrome: A case report

• Kim SK
• Kwon MA
• Eun JH
• Kim SH

• KMID: 1763292
• DOI: http://doi.org/10.4097/kjae.2008.54.4.464

Abstract

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 usually develops during pregnancy and is associated with pregnancy-induced hypertension. In this case, a healthy multiparous woman having a normal gestational period and vaginal delivery developed massive postpartum bleeding with the suddenly progressive symptoms; hemorrhage, hemolysis, severely elevated liver enzymes, thrombocytopenia, acute renal failure, and pulmonary edemas. We report the case of anesthetic care for the patient with severe postpartum HELLP syndrome. The patient discharged without any severe complications 26 days after the surgery.

Keyword

hemorrhage; HELLP syndrome; postpartum; pregnancy induced hypertension

MeSH Terms

Acute Kidney Injury
Female
HELLP Syndrome
Hemolysis
Hemorrhage
Humans
Hypertension, Pregnancy-Induced
Liver
Platelet Count
Postpartum Period
Pregnancy
Pulmonary Edema
Thrombocytopenia