A Rare Case in 17 Weeks of Gestation: Hemolysis, Elevated Liver Enzymes and Low Platelet Count Syndrome

Year 2013, , 205 - 207, 01.12.2013

Mehmet Yılmaz İlhan Bahri Delibaş Ünal İsaoğlu Metin İngeç

https://doi.org/10.5505/sakaryamj.2013.08370

Abstract

The HELLP syndrome is a condition characterized by Hemolysis, Elevated Liver enzymes and Low Platelet numbers. It occurs in 0.5-0.9% of all pregnancies and 10-20% of patients with severe preeclampsia. It often occurs as part of severe preeclampsia after 27th week of gestation. We hereby present an unusual case of HELLP syndrome, which was diagnosed at 17 weeks of gestation. If definitive diagnosis of HELLP syndrome is made, prompt termination of pregnancy should be considered, particularly in pregnancies, which are remote from term, to prevent potentially fatal complications both for the mother and the fetus.

Keywords

HELLP syndrome, early pregnancy, Pre-eclampsia

17. gebelik haftasında nadir bir vaka: Hemoliz, yükselmiş karaciğer enzimleri, düşük platelet sayısı sendromu

Abstract

HELLP (Haemolysis, Elevated Liver enzymes and Low Platelet) sendromu hemoliz, yükselmiş karaciğer enzimleri ve düşük platelet sayısı ile karakterize bir sendromdur. Tüm gebelerin %0.5-0.9'unda ve şiddetli preeklampsili gebelerin %10-20'sinde görülür. Hellp sendromu genellikle 27. gebelik haftasından sonra görülen bir durumdur. Biz burada 17 haftalık gebede görülen bir Hellp sendromu vakasını sunduk. Özellikle termden uzak gebeliklerde Hellp sendromundan kesin emin olunursa ileriki zamanlarda gelişebilecek anne ve bebeğin hayatını riske edebilecek komplikasyonları önlemek için gebelik hızla sonlandırılmalıdır.

Keywords

HELLP sendromu, erken gebelik, preeklampsi

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