Late postpartum HELLP syndrome over 10 days after delivery

HELLP syndrome rarely develops more than 48 hours after delivery, but there is no reliable knowledge how long the postpartum HELLP can delay to onset. [...]there was no consensus how long to pay attention to postpartum HELLP syndrome after delivery [4]. No headache, abdominal pain, diarrhea, nausea,...

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Bibliographic Details
Published in:The American journal of emergency medicine 2016-11, Vol.34 (11), p.2258.e1-2258.e3
Main Authors: Nakamura, Kensuke, MD, PhD, Inokuchi, Ryota, MD, PhD, Sonoo, Tomohiro, MD, Hiruma, Takahiro, MD, PhD, Tokunaga, Kurato, MD, Doi, Kent, MD, PhD
Format: Article
Language:English
Subjects:
Abdomen
Adult
Anemia
Anticoagulants
Blood platelets
Blood pressure
Critical care
Delivery, Obstetric
Emergency
Emergency medical care
Female
HELLP Syndrome - blood
HELLP Syndrome - diagnosis
HELLP Syndrome - pathology
Hepatitis
Humans
Intensive care
Liver diseases
Postpartum Period
Pregnancy
Proteins
Time Factors
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Summary:HELLP syndrome rarely develops more than 48 hours after delivery, but there is no reliable knowledge how long the postpartum HELLP can delay to onset. [...]there was no consensus how long to pay attention to postpartum HELLP syndrome after delivery [4]. No headache, abdominal pain, diarrhea, nausea, or vomiting was noted. [...]the patient was transferred to the Department of Emergency and Critical Care Medicine of Hitachi General Hospital. Reportedly, 21% to 55% of HELLP syndrome cases are accompanied by vascular endothelial disorder-induced DIC [12], and there are also other case reports in which rTM was effective to treat HELLP syndrome [13]. Because HELLP syndrome may spontaneously remit, it was unclear whether rTM was effective for HELLP syndrome in our patient.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2016.05.050