acute severe pancreatitis in pregnancy masquerading as partial hemolysis elevated liver enzymes low platelet (hellp) syndrome
نویسندگان
چکیده
conclusions termination of pregnancy was performed as it would save the patient’s life in either deteriorated acute severe pancreatitis or hellp. case presentation a 17-year-old female with 27 weeks of gestation presented mild acute pancreatitis. based on the criteria of persistent systemic inflammatory response syndrome (sirs) she subsequently developed severe pancreatitis. bilirubin 2.2 mg/dl, lactate dehydrogenase 2171 iu/l and platelet of 53000 mm3 after 48 hours of the onset of pain, also indicated the possibility of partial hellp syndrome. however, the results of the differential diagnosis ruled out the presence of disseminated intravascular coagulation (dic), thrombotic thrombocytopenic purpura (ttp), systemic lupus erythematosus (sle) and anti phospholipids syndrome. we terminated her pregnancy due to the above-mentioned diagnoses and postponed the cholecystectomy. introduction acute severe pancreatitis may result in biochemical abnormalities resembling those seen in hemolysis elevated liver enzymes low platelet (hellp) syndrome.
منابع مشابه
Acute Interstitial Nephritis Proteinuria and Herpes Simplex Virus Hepatitis in Pregnancy Mimic HELLP Syndrome (Hemolysis, Elevated Liver Enzymes, Low Platelets)
Elevated transaminases, hemolysis, and thrombocytopenia in pregnancy are most often caused by a preeclampsia variant-HELLP syndrome (hemolysis, elevated liver enzymes, low platelets). In atypical cases, it is important to consider other causes, such as herpes simplex virus (HSV) hepatitis. Acute interstitial nephritis (AIN)-induced proteinuria can make distinguishing HELLP from its mimics more ...
متن کاملMaternal mortality associated with HELLP (hemolysis, elevated liver enzymes, and low platelets) syndrome.
OBJECTIVE The aim of this study was to determine factors contributing to deaths among women with HELLP (hemolysis, elevated liver enzymes, and low platelets) syndrome. STUDY DESIGN Information from multiple sources was scrutinized to distinguish and profile maternal deaths associated with HELLP syndrome. RESULTS Information was available regarding 54 maternal deaths. According to HELLP synd...
متن کاملAcute Babesiosis in Pregnancy: A Novel Imitator of Hemolysis, Elevated Liver Enzymes, and Low Platelet Count Syndrome.
BACKGROUND Hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome is a serious complication of pregnancy associated with significant maternal and fetal morbidity and mortality. Several medical conditions have been described as imitators of this syndrome, presenting with similar signs and symptoms. CASE A term, multiparous woman with a history of prior pregnancy complicated...
متن کاملHELLP syndrome (hemolysis, elevated liver enzymes, and low platelets) pathophysiology and anesthetic considerations.
HELLP syndrome in the parturient (hemolysis, elevated liver enzymes, and low platelet count) is associated with poor maternal and fetal outcomes. Maternal mortality has been estimated to be as high as 24%. Patients with HELLP syndrome are also at greater risk of pulmonary edema, adult respiratory distress syndrome, abruptio placentae, disseminated intravascular coagulation, ruptured liver hemat...
متن کاملCorticosteroid Therapy for Management of Hemolysis, Elevated Liver Enzymes, and Low Platelet Count (HELLP) Syndrome: A Meta-Analysis
BACKGROUND Hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome is a severe condition of pregnancy that is associated with significant morbidity and mortality. Corticoteroid (CORT) therapy is common in the management of HELLP syndrome. This study evaluates the efficacy of CORT therapy to patients with HELLP Syndrome. MATERIAL AND METHODS A literature search was carried out...
متن کاملFirst Trimester Hemolysis, Elevated Liver Enzymes, Low Platelets Syndrome in a Surrogate Pregnancy
Background The occurrence of hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome before 20 weeks of gestation is rare. HELLP is a possible but rare syndrome in gestational surrogate pregnancies for surrogates with risk factors for development of preeclampsia. Case A 32-year-old patient with chronic hypertension and positive antinuclear antibody presented for prenatal care at 13 we...
متن کاملمنابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
journal of biotechnology and health sciencesجلد ۲، شماره ۲، صفحات ۰-۰
کلمات کلیدی
میزبانی شده توسط پلتفرم ابری doprax.com
copyright © 2015-2023