Fulminant course of HELLP syndrome with lethal outcome - case report

To present a case of death of a patient with fulminant course of HELLP syndrome in 32nd week of pregnancy. Case report. Department of Obstetrics and Gynecology, Hospital Kladno. We report a case of 29 years old primigravida in 32nd week of pregnancy, which was admitted to the hospital in a serious c...

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Bibliographic Details
Published inCeská gynekologie Vol. 78; no. 5; p. 460
Main Authors Drmlová, D, Brádková, H, S, Urbánek
Format Journal Article
LanguageCzech
Published Czech Republic 01.11.2013
Subjects
Acute Disease
Adult
Cesarean Section
Diagnosis, Differential
Fatal Outcome
Female
HELLP Syndrome - diagnosis
Humans
Infant, Newborn
Male
Pregnancy
Pregnancy Complications - diagnosis
Pregnancy Outcome
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Summary:To present a case of death of a patient with fulminant course of HELLP syndrome in 32nd week of pregnancy. Case report. Department of Obstetrics and Gynecology, Hospital Kladno. We report a case of 29 years old primigravida in 32nd week of pregnancy, which was admitted to the hospital in a serious condition with cephalea, vomiting and progressive full-body swelling. During the entrance examination the patient looses consciousness, due to critical pressure an emergency caesarian section is performed. Laboratory values correspond to a fully developed HELLP syndrome, which gradually progresses from class III to class I of Mississippi classification. The patient´s condition required further surgical interventions including hysterectomy. Despite intensive therapy and multidisciplinary cooperation a gradual failure of vital functions and death of the patient followed. Presenting this critical situation the authors want to emphasize the need of early diagnosis and subsequent comprehensive treatment in cooperation with other disciplines in the care of critically endangered patient on delivery room.
ISSN:1210-7832