[HELLP syndrome in the 23d week of pregnancy. A case report and literature discussion].

A case report is given on a 24 years old primipara who developed a progredient HELLP-syndrome (H = hemolysis, EL = elevated liver enzymes, LP = low platelet counts) in the 23rd week of gestation two days after first diagnosis of pregnancy induced hypertension. As the situation became increasingly critical, the pregnancy had to be terminated in the 23rd week of gestation by sectio parva. To our knowledge the development of a HELLP-syndrome at this early gestational age has not yet been described.