American Journal of Obstetrics & Gynecology
Volume 198, Issue 5 , Pages e6-e8 , May 2008

HELLP syndrome: an atypical presentation

Received 21 September 2007 ,Revised 11 December 2007 ,Accepted 21 December 2007.

References 

  1. Martin JN, Rinehart BK, May WL, Magann EF, Terrone DA, Blake PG. The spectrum of severe preeclampsia: comparative analysis by HELLP (hemolysis, elevated liver enzyme levels, and low platelet count) syndrome classification. Am J Obstet Gynecol. 1999;180:1373–1384
  2. Sibai BM. Diagnosis, controversies and management of the HELLP syndrome. Obstet Gynecol. 2004;103:981–991
  3. Weinstein L. Syndrome of hemolysis, elevated liver enzymes, and low platelet count: a severe consequence of hypertension in pregnancy. Am J Obstet Gynecol. 1982;142:159–167
  4. Tompkins MJ, Thiagarajah S. HELLP (hemolysis, elevated liver enzymes, and low platelet count) syndrome: the benefit of corticosteroids. Am J Obstet Gynecol. 1999;181:300–309
  5. O'Brien JM, Milligan DA, Barton JR. Impact of high-dose corticosteroid therapy for patients with HELLP (hemolysis, elevated liver enzymes and low platelet count) syndrome. Am J Obstet Gynecol. 2000;183:921–924
  6. Weinstein L. Preeclampsia/eclampsia with hemolysis, elevated liver enzymes and thrombocytopenia. Obstet Gynecol. 1985;66:657–660
  7. Weinstein L. It has been a great ride: the history of HELLP syndrome. Am J Obstet Gynecol. 2005;193:860–863
  8. Blankenship JC, Indeck M. Spontaneous splenic rupture complicating anticoagulant or thrombolytic therapy. Am J Med. 1993;94:433–437
  9. Dizadji H, Hammer R, Strzyz B, Weisenberger J. Spontaneous rupture of the liver (A complication of oral anticoagulant therapy). Arch Surg. 1979;114:734–735
  10. Eklof B, Gjores JE, Lohi A, Staszkiewicz W, Norgren L. Spontaneous rupture of liver and spleen with severe intra-abdominal bleeding during streptokinase treatment of deep venous thrombosis. Vasa. 1977;6:369–371
  11. Taccone FS, Starc JM, Sculier JP. Splenic spontaneous rupture (SSR) and hemoperitoneum associated with low molecular weight heparin: a case report. Support Care Cancer. 2003;11:336–338
  12. Arnulf G, Chacomac R, Morel JP. Hémorragie gravissime par rupture d'hématome souscapsulaire rate saine au cours d'héparinisation pour désoblitération artérielle. Lyon Chirurgical. 1968;64:961–964
  13. Weiss SJ, Smith T, Laurin E, Wisner DH. Spontaneous splenic rupture due to subcutaneous heparin therapy. J Emerg Med. 2000;18:421–426
  14. Stella CL, Sibai BM. Preeclampsia: diagnosis and management of the atypical presentation. J Matern Fetal Neonatal Med. 2006;19:381–386

 Reprints not available from the authors.

PII: S0002-9378(07)02346-0

doi: 10.1016/j.ajog.2007.12.034

American Journal of Obstetrics & Gynecology
Volume 198, Issue 5 , Pages e6-e8 , May 2008