Document Detail

The development of disseminated intravascular coagulation in hemolysis, elevated liver enzymes, and low platelet count syndrome (HELLP) at very early gestational age.
MedLine Citation:
PMID:  18854811     Owner:  NLM     Status:  MEDLINE    
Hemolysis, elevated liver enzymes, and low platelet count syndrome(HELLP) is a severe pregnancy complication since it is life-threatening for both mother and fetus. When HELLP syndrome associates with disseminated intravascular coagulation (DIC) or with other complications it is necessary to terminate the pregnancy; however, due to fetal prematurity, it may be advisable to wait for the effectiveness of the corticosteroid prophylaxis of neonatal respiratory distress syndrome when such complications are not present. This article reports an initially mild HELLP syndrome case, with onset at week 26 and two days of pregnancy, where it was necessary to wait for the effectiveness of respiratory distress prophylaxis and, consequently, to carry out a close monitoring of the onset and worsening of DIC. Tests for blood cell distribution width, D-dimer, plasmatic electrolytes and urinary sediment, which undergo precocious and rapid variations in DIC, are quickly processed, and useful for the conservative management of HELLP.
U Indraccolo; G Gentile; V M Manfreda; G Pomili
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Minerva ginecologica     Volume:  60     ISSN:  0026-4784     ISO Abbreviation:  Minerva Ginecol     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-10-15     Completed Date:  2009-03-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400731     Medline TA:  Minerva Ginecol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  445-50     Citation Subset:  IM    
Department of Surgical Sciences, Institute of Obstetrics and Gynecology, University of Foggia, Foggia, Italy.
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MeSH Terms
Disseminated Intravascular Coagulation* / etiology,  therapy
HELLP Syndrome* / therapy
Pregnancy Trimester, Second

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