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An anesthetic experience in severe preeclampsia patient suspected HELLP syndrome with an intraperitoneal hemorrhage caused by a rapidly progressed liver rupture - A case report -
Anesth Pain Med 2018;13(4):401-4
Published online October 31, 2018
© 2018 Korean Society of Neuroscience in Anesthesiology and Critical Care.

Hyun Joo Heo1, Hyungtae Kim2 , Ji Hye Lee1, So Mang Im1, Ok Hyun Kim1, and Han Gyeol Lee1
Department of Anesthesiology and Pain Medicine, 1Presbyterian Medical Center, Jeonju, 2Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
Correspondence to: Hyungtae Kim, M.D.
Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea
Tel: 82-2-3010-3868
Fax: 82-2-6008-2475
E-mail: ingwei2475@naver.com
ORCID
http://orcid.org/0000-0003-2488-9986
Received April 26, 2018; Revised June 18, 2018; Accepted June 29, 2018.
cc This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
The diagnosis of HELLP syndrome associated with preeclampsia-eclampsia during pregnancy uses three test results, including hemolysis, elevated liver enzyme, low platelets and their related clinical symptoms. Liver rupture is a life-threatening and rare complication related to HELLP syndrome. Early diagnosis and rapid treatment are very important for protecting the life of the patient and the fetus. We are reporting an anesthetic experience a sudden-onset suspicious HELLP syndrome with an intraperitoneal hemorrhage caused by a rapidly progressed liver rupture in a severe preeclampsia patient without any abnormalities during gestation.
Key Words : Eclampsia; HELLP syndrome; Liver; Pre-eclampsia; Rupture.


October 2018, 13 (4)
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