Background: The pregnancy condition known as the HELLP-syndrome (Haemolysis, Elevated Liver enzymes, Low Platelets) is connected to preeclampsia and may result in sub capsular liver hematomas. Estimates of incidence range from 0.5 to 7.6 per 1000 births, and between 8% and 24% of HELLP cases are considered severe .Here we are introducing a 24-year-old patient who visited to gynaecological outpatient department unit with complaint of abdominal and chest pain specially in right upper side, bleeding, changes in vision, heat intolerance specially in night but cold hand, insomnia weight loss, nausea, and vomiting, sweating, dizziness, tremor, increase appetite headache, edema over feet since last one month. The patient underwent through a blood investigation (CBC), D-dimer test, liver enzyme test, and sonography and magnetic resonance image. After all the investigation patient shifted for lower segment caesarean section(LSCS) After that the patient is shifted to ward for further management after that she has administered the right dose of anti- thyroid medication, anti- conversant beta blocker, anti edoema and other suppository medication. After treatment, the patient's condition was improved than before.