[Sixteen-year-old woman with multiorgan dysfunction after HELLP].
HELLP is a syndrome with haemolysis, elevated liver enzymes and thrombocytopenia. It occurs in 1 to 6 per 1,000 parturient. Approximately 10% of the cases occur post partum. A 16-year-old woman delivered twins in the 34th gestational week. During the following hours, she developed symptoms of hypovolaemic shock. Blood sample values were critical and the patient was diagnosed with HELLP with DIC. She developed liver shock with encephalopathy and acute renal failure. Her condition stabilized on the 8th day of admission and the woman was extubated on the 16th day. She was discharged without complications on the 22 th day.
Hauritz
Rasmus Wulff
RW
Anaestesiologisk Afdeling V, Odense Universitetshospital, DK-5000 Odense C, Denmark. rwh@dadlnet.dk
Køhler
Flemming
F
Jørgensen
Jan Stener
JS
D000293:Adolescent; D002585:Cesarean Section; D003937:Diagnosis, Differential; D005260:Female; D017359:HELLP Syndrome / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D006801:Humans; D017093:Liver Failure / Q000209:etiology; D011247:Pregnancy; D011272:Pregnancy, Multiple; D051437:Renal Insufficiency / Q000209:etiology; D014057:Tomography, X-Ray Computed; D014427:Twins