A case report of HELLP syndrome

HELLP syndrome is a serious complication in pregnancy characterized by hemolysis, elevated liver enzymes and low platelet count. This case demonstrated the importance of rapid and early diagnosis and treatment of HELLP syndrome to reduce maternal and perinatal mortality and morbidity. 26 years old, 2nd gravida with 31 weeks of gestation with severe pre-eclampsia was admitted to Department of Obstetrics and Gynecology at Civil Hospital, Ahmedabad. Patient suddenly developed epigastric pain, blood tinge urine (not frank hematuria) and decrease urine output within 24 hours of admission. Investigations revealed platelet count 44,300, serum bilirubin 12, direct bilirubin 3.44, and indirect bilirubin 8.56, SGPT 193.5 and was diagnosed as a HELLP syndrome class 1. She underwent cesarean section and there was dramatic improvement of her symptoms and all blood investigations (S. bilirubin, Platelet count) were declined to normal limit within 48 hours post operatively. HELLP syndrome, a variant of severe pre-eclampsia, if diagnosed and manage timely ensure favorable maternal and perinatal outcome.