Korean J Anesthesiol.
2012 Jun;62(6):575-578. 10.4097/kjae.2012.62.6.575.
Anesthetic management of HELLP syndrome complicating primary antiphospholipid syndrome: A case report
- Affiliations
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- 1Department of Anesthesiology and Pain Medicine, Gachon University of Medicine and Science Gil Medical Center, Incheon, Korea. yjsk@gilhospital.com
- KMID: 1828036
- DOI: http://doi.org/10.4097/kjae.2012.62.6.575
Abstract
- 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 weeks' gestation. She had a seizure attack and her laboratory findings were: AST/ALT 1459/1108 IU/L, LDH 1424 IU/L, 30% hematocrit, a platelet count of 43 x 10(3)/ml and urine protein (4+). We describe the anesthetic experience of catastrophic HELLP syndrome with antiphospholipid syndrome and we review the relevant literature.
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