Postpartum HELLP syndrome-the case of lost battle

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 le...

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Bibliographic Details
Published in:Upsala journal of medical sciences 2013-03, Vol.118 (1), p.51-53
Main Authors: Pop-Trajkovi, Sonja, Anti, Vladimir, Kopitovi, Vesna, Popovi, Jasmina, Trenki, Milan, Vaci, Nikola
Format: Article
Language:English
Subjects:
Adult
Case Report
Disseminated Intravascular Coagulation - etiology
Fatal Outcome
Female
HELLP Syndrome - mortality
Humans
Maternal mortality
Preeclampsia
Pregnancy
Puerperal Disorders - mortality
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Summary: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.
ISSN:0300-9734
2000-1967
DOI:10.3109/03009734.2012.725431