title: Successful management of a pregnant woman with HELLP syndrome, pulmonary edema, postpartum hemorrhage and acute renal failure, using early hemodialysis, intravenous immunoglobulin and noninvasive monitoring: a case report.
abstract: BACKGROUND
  HELLP syndrome (hemolysis, elevated liver enzymes, low platelets) with medical complications is a major cause of maternal mortality in pregnancy. A vicious cycle may occur without expeditious delivery and proper management.
  
  
  METHODS
  A woman with severe HELLP syndrome, hemolytic renal failure, pulmonary edema and postpartum hemorrhage was successfully managed using early hemodialysis, intravenous immunoglobulin (IVIG) and noninvasive hemodynamic monitoring.
  
  
  CONCLUSIONS
  Pulmonary edema is easily managed by early hemodialysis. IVIG may be a viable treatment for thrombocytopenia and hemolysis but can induce reversible interstitial nephritis and membranous glomerulonephritis.
authors.affiliation: Department of Obstetrics and Gynecology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan. fncho@isca.vghks.gov.tw
authors.forename: Fu-Nan
authors.initials: FN
authors.lastname: Cho
authors.forename: San-Nung
authors.initials: SN
authors.lastname: Chen
authors.forename: Yuen-Yee
authors.initials: YY
authors.lastname: Kan
authors.forename: Te-Ching
authors.initials: TC
authors.lastname: Lee
authors.forename: Jyh-Seng
authors.initials: JS
authors.lastname: Wang
mesh_terms: D058186:Acute Kidney Injury / Q000150:complications / Q000209:etiology / Q000628:therapy*; D000328:Adult; D005260:Female; D017359:HELLP Syndrome / Q000628:therapy*; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use*; D008991:Monitoring, Physiologic / Q000379:methods; D006473:Postpartum Hemorrhage / Q000209:etiology / Q000628:therapy; D011247:Pregnancy; D011654:Pulmonary Edema / Q000150:complications / Q000209:etiology / Q000628:therapy*; D006435:Renal Dialysis
chemical_list: D016756:Immunoglobulins, Intravenous