| 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 |
Abstract/OtherAbstract:
|
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. |
| | |
Authors:
|
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 |
Affiliation:
|
Department of Surgical Sciences, Institute of Obstetrics and Gynecology, University of Foggia, Foggia, Italy. ugo.indraccolo@libero.it |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Disseminated Intravascular Coagulation* / etiology, therapy Female HELLP Syndrome* / therapy Humans Pregnancy Pregnancy Trimester, Second |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Is micronutrients supplementation useful in pregnancy?
Next Document: Deep venous thrombosis in a patient with large uterine myomata. Case report.