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  • Title: [HELLP syndrome in the "Daniel A Carrion" National Hospital: report of cases].
    Author: Inchiyanagui C, Castillo N, Iparraguirre H.
    Journal: Rev Gastroenterol Peru; 1996; 16(2):162-6. PubMed ID: 8924658.
    Abstract:
    HELLP syndrome is an unusual complication of severe preeclampsia- eclampsia and is characterized by hemolysis (microangiopathic), elevated liver enzymes and thrombocytopenia. It is present in 2 to 19.3% of patients with toxemia and in 0.85% of all pregnancies. We present 2 cases of Hellp syndrome post-partum (in less than 31% of patients, according to literature) that fulfill with University of Tennessee diagnostic criteria, with clinical and laboratory features as described by literature. The second case presented as a complication, disseminated intravascular coagulation (DIC), which complicates Hellp syndrome in about 38% of patients. We review the clinical, epidemiologic and laboratory features, as well as, differential diagnosis, complications and management of Hellp syndrome.
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