Document Detail


HELLP syndrome as a cause of unexpected rapid maternal death--a case report and review of the literature.
MedLine Citation:
PMID:  15744546     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Unexpected rapid death after delivery due to HELLP syndrome (HS) may become the subject of a forensic expertise. Since this syndrome is rarely encountered in forensic pathology, our objective was to point to some specific findings which might present forensic aspects of HS. These include unexpectedness, suddenness and fulminant course of this syndrome, which may confuse physicians, and on the other hand these characteristics cast doubt on violent injury, diagnostic oversights or iatrogenic injuries. Absence of classical signs of preeclampsia and non-specific clinical symptoms cause considerable differential diagnostic problems leading to a diagnostic delay or initial wrong non-obstetric diagnosis. A definitive postmortem diagnosis of HS in questionable cases of maternal death and consecutive forensic expertise of suspected medical malpractice should be based on accepted laboratory criteria and characteristic histopathological alterations.
Authors:
M Simic; M Tasic; G Stojiljkovic; D Draskovic; R Vukovic
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2004-11-11
Journal Detail:
Title:  International journal of legal medicine     Volume:  119     ISSN:  0937-9827     ISO Abbreviation:  Int. J. Legal Med.     Publication Date:  2005 Mar 
Date Detail:
Created Date:  2005-03-03     Completed Date:  2005-11-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9101456     Medline TA:  Int J Legal Med     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  103-6     Citation Subset:  IM    
Affiliation:
Institute of Legal Medicine, School of Medicine Novi Sad, H. Veljkova 5, 21000 Novi Sad, Serbia and Montenegro. sudmedic@eunet.yu
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MeSH Terms
Descriptor/Qualifier:
Adult
Disseminated Intravascular Coagulation / pathology
Fatal Outcome
Female
Forensic Pathology
HELLP Syndrome / pathology*
Hematoma / etiology
Humans
Hyperemia / pathology
Liver / pathology
Liver Diseases / etiology
Necrosis / pathology
Pregnancy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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