title: Spontaneous hepatic rupture caused by hemolysis, elevated liver enzymes, and low platelet count syndrome.
abstract: The causes of hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome or hepatic hemorrhage as a serious complication of HELLP are not known. Although spontaneous hepatic rupture associated with HELLP syndrome is a rare complication of pregnancy, hepatic rupture results in life-threatening complications. The cornerstone of prognosis is early diagnosis. Hepatic rupture in HELLP syndrome should be considered a differential diagnosis in pregnant patients with sudden onset of abdominal pain or hypotension. We report a case of 30-year-old primigravida female with spontaneous hepatic rupture caused by HELLP syndrome as a presenting symptom of right upper quadrant abdominal pain.
authors.affiliation: Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
authors.forename: Je Sung
authors.initials: JS
authors.lastname: You
authors.affiliation: Department of Radiology and Research Institute of Radiological Science, Yonsei University Severance Hospital, Seoul, Republic of Korea.
authors.forename: Yong Eun
authors.initials: YE
authors.lastname: Chung
authors.affiliation: Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
authors.forename: Hyun Soo
authors.initials: HS
authors.lastname: Chung
authors.affiliation: Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
authors.forename: Youngseon
authors.initials: Y
authors.lastname: Joo
authors.affiliation: Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea. Electronic address: emstar@yuhs.ac.
authors.forename: Sung Phil
authors.initials: SP
authors.lastname: Chung
authors.affiliation: Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
authors.forename: Hahn Shick
authors.initials: HS
authors.lastname: Lee
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D004636:Emergency Service, Hospital; D005260:Female; D017359:HELLP Syndrome / Q000175:diagnosis*; D006801:Humans; D008107:Liver Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D011247:Pregnancy; D012422:Rupture, Spontaneous / Q000209:etiology; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography