• Am J Emerg Med · Jun 2014

    Case Reports

    Spontaneous hepatic rupture caused by hemolysis, elevated liver enzymes, and low platelet count syndrome.

    • Sung Phil Chung, Je Sung You, and Yong Eun Chung.
    • Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
    • Am J Emerg Med. 2014 Jun 1;32(6):686.e3-4.

    AbstractThe causes of hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome or hepatic hemorrhage as a serious complication of HELLP are not known. Although spontaneous hepatic rupture associated with HELLP syndrome is a rare complication of pregnancy, hepatic rupture results in life-threatening complications. The cornerstone of prognosis is early diagnosis. Hepatic rupture in HELLP syndrome should be considered a differential diagnosis in pregnant patients with sudden onset of abdominal pain or hypotension. We report a case of 30-year-old primigravida female with spontaneous hepatic rupture caused by HELLP syndrome as a presenting symptom of right upper quadrant abdominal pain.

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