Intrahepatic cholangiocarcinoma masquerading as the HELLP syndrome (hemolysis, elevated liver enzymes, and low platelet count) in pregnancy: case report.
A young woman was seen at 26 weeks' gestation with a clinical profile consistent with the HELLP syndrome (hemolysis, elevated liver enzymes, and low platelet count). The patient underwent cesarean delivery and was found to have a massive tumor involving the liver. After correction of the coagulopathy, a liver biopsy specimen demonstrated an intrahepatic cholangiocarcinoma. The patient died 3 weeks after diagnosis.
Balderston
K D
KD
Department of Obstetrics and Gynecology, University of California, Irvine, Medical Center, Orange, USA.
Tewari
K
K
Azizi
F
F
Yu
J K
JK
D000328:Adult; D018281:Cholangiocarcinoma / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D003937:Diagnosis, Differential; D004211:Disseminated Intravascular Coagulation / Q000150:complications; D005260:Female; D017359:HELLP Syndrome / Q000175:diagnosis*; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis*