title: [Fulminant course of HELLP syndrome with lethal outcome - case report].
abstract: OBJECTIVE
  To present a case of death of a patient with fulminant course of HELLP syndrome in 32nd week of pregnancy.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Department of Obstetrics and Gynecology, Hospital Kladno.
  
  
  METHODS
  We report a case of 29 years old primigravida in 32nd week of pregnancy, which was admitted to the hospital in a serious condition with cephalea, vomiting and progressive full-body swelling. During the entrance examination the patient looses consciousness, due to critical pressure an emergency caesarian section is performed. Laboratory values correspond to a fully developed HELLP syndrome, which gradually progresses from class III to class I of Mississippi classification. The patient´s condition required further surgical interventions including hysterectomy. Despite intensive therapy and multidisciplinary cooperation a gradual failure of vital functions and death of the patient followed.
  
  
  CONCLUSIONS
  Presenting this critical situation the authors want to emphasize the need of early diagnosis and subsequent comprehensive treatment in cooperation with other disciplines in the care of critically endangered patient on delivery room.
authors: D
authors: D
authors: Drmlová
authors: H
authors: H
authors: Brádková
authors: Urbánek
authors: U
authors: S
mesh_terms: D000208:Acute Disease; D000328:Adult; D002585:Cesarean Section; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D017359:HELLP Syndrome / Q000175:diagnosis*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis*; D011256:Pregnancy Outcome