title: Haemolysis, elevated liver enzymes and low platelets syndrome: ultrasound and magnetic resonance imaging findings in the liver.
abstract: We describe the imaging findings of the HELLP (haemolysis, elevated liver enzymes and low platelets) syndrome in a gravid 36-year-old-woman who presented at 19.5 weeks gestation with severe right upper quadrant pain. Ultrasound findings suggested a focal hyperechoic liver lesion suggesting pregnancy-related hepatopathy prior to development of biochemical signs of HELLP syndrome. Within 3 days, the patient developed characteristic clinical and laboratory evidence of the HELLP syndrome. MR imaging at this time demonstrated localized hepatic ischaemia, further strengthening the diagnosis of HELLP syndrome.
authors.affiliation: Division of Abdominal Imaging and Interventional Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts 02114, USA.
authors.forename: Michael M
authors.initials: MM
authors.lastname: Maher
authors.forename: Mannudeep K
authors.initials: MK
authors.lastname: Kalra
authors.forename: Brian C
authors.initials: BC
authors.lastname: Lucey
authors.forename: Kartik
authors.initials: K
authors.lastname: Jhaveri
authors.forename: Dushyant V
authors.initials: DV
authors.lastname: Sahani
authors.forename: Peter F
authors.initials: PF
authors.lastname: Hahn
authors.forename: Mary Jane
authors.initials: MJ
authors.lastname: O'Neill
authors.forename: Peter R
authors.initials: PR
authors.lastname: Mueller
mesh_terms: D000328:Adult; D005260:Female; D017359:HELLP Syndrome / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging / Q000473:pathology*; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D016216:Ultrasonography, Prenatal