Inchiyanagui C, Castillo N, Iparraguirre H
Hospital Daniel A. Carrión UNMSM.
Rev Gastroenterol Peru. 1996 May-Aug;16(2):162-6.
HELLP syndrome is an unusual complication of severe preeclampsia- eclampsia and is characterized by hemolysis (microangiopathic), elevated liver enzymes and thrombocytopenia. It is present in 2 to 19.3% of patients with toxemia and in 0.85% of all pregnancies. We present 2 cases of Hellp syndrome post-partum (in less than 31% of patients, according to literature) that fulfill with University of Tennessee diagnostic criteria, with clinical and laboratory features as described by literature. The second case presented as a complication, disseminated intravascular coagulation (DIC), which complicates Hellp syndrome in about 38% of patients. We review the clinical, epidemiologic and laboratory features, as well as, differential diagnosis, complications and management of Hellp syndrome.