A Case Report on Managing Hemolysis, Elevated Liver Enzymes, and Low Platelets (HELLP Syndrome) During a Rapid Response Code

Abstract

HELLP syndrome (hemolysis, elevated liver enzymes, and low platelets) is a relatively rare condition that can complicate pregnancies. We present a 31-year-old gravida 5 para 0 female at 37-3/7 weeks gestation who presented with sudden onset severe epigastric pain, shortness of breath, diaphoresis, bradycardia, and elevated blood pressure. A Rapid Response Team (RRT) was called, and the patient was treated with IV magnesium in addition to blood pressure control medications. Laboratory results confirmed the diagnosis of HELLP syndrome. HELLP syndrome has the potential for major thrombotic complications and should be considered. Early consideration and evaluation of thrombotic complications amongst other common diagnoses are important for prompt treatment and optimization of maternal and fetal well-being.

O perfil clínico e o manejo terapêutico da síndrome HELLP: revisão integrativa

“…O diagnóstico depende de certos critérios e pode ser diagnosticado incorretamente devido ao amplo diferencial, incluindo esteatose hepática da gravidez, hepatite, colecistite, trombocitopenia ou outros distúrbios hemolíticos microangiopáticos. Embora existam várias etiologias da síndrome HELLP, as apresentações cardiopulmonares podem tornar mais desafiador chegar a um diagnóstico e tratamento subsequente (Hasan et al, 2020;Wade, Panchmatia & Calderon, 2021).…”