Postpartum HELLP syndrome-the case of lost battle

• Published in: Upsala journal of medical sciences Vol. 118; no. 1; pp. 51 - 53
• Main Authors: Pop-Trajkovi, Sonja, Anti, Vladimir, Kopitovi, Vesna, Popovi, Jasmina, Trenki, Milan, Vaci, Nikola
• Format: Journal Article
• Language: English
• Published: England Informa Healthcare 01.03.2013; Open Academia
• Subjects: Adult; Case Report; Disseminated Intravascular Coagulation - etiology; Fatal Outcome; Female; HELLP Syndrome - mortality; Humans; Maternal mortality; Preeclampsia; Pregnancy; Puerperal Disorders - mortality
• ISSN: 0300-9734; 2000-1967; 2000-1967
• DOI: 10.3109/03009734.2012.725431

Abstract Unexpected rapid maternal death after delivery due to HELLP syndrome is rarely encountered and may become the subject of forensic expertise. Unexpectedness, suddenness, and fulminant course of this syndrome as well as absence of classical signs of pre-eclampsia can confuse physicians and lead to diagnostic delay. A definitive post-mortem diagnosis of HELLP syndrome in questionable cases of maternal death should be based on accepted laboratory criteria and characteristic histopathological alterations. We present a case of acute postpartum HELLP syndrome complicated by disseminated intravascular coagulation and acute renal failure which caused rapid maternal death only 20 hours after a caesarean section following an uncomplicated pregnancy.