Massive Hepatic Infarction Caused by HELLP Syndrome | Zendy

Adam E. Mikolajczyk | Zendy; John F. Renz | Zendy; Geraldine C. Diaz | Zendy; Lindsay Alpert | Zendy; John Hart | Zendy; Helen S. Te | Zendy

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Massive Hepatic Infarction Caused by HELLP Syndrome

Author(s) -

Adam E. Mikolajczyk,

John F. Renz,

Geraldine C. Diaz,

Lindsay Alpert,

John Hart,

Helen S. Te

Publication year - 2017

Publication title -

acg case reports journal

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.112

H-Index - 4

ISSN - 2326-3253

DOI - 10.14309/crj.2017.81

Subject(s) - medicine , hellp syndrome , preeclampsia , palpation , alanine aminotransferase , abdominal pain , emergency department , elevated liver enzymes , gestation , tenderness , physical examination , proteinuria , quadrant (abdomen) , back pain , obstetrics , pregnancy , surgery , pathology , genetics , biology , alternative medicine , psychiatry , kidney

A healthy, 30-year-old woman at 32 weeks gestation presented to the emergency department with sudden-onset headache and abdominal pain. On physical exam, she was hypertensive (188/69 mm Hg) and had mild tenderness to palpation in the right upper quadrant. Initial laboratory studies revealed proteinuria, aspartate aminotransferase at 730 U/L, and alanine aminotransferase at 478 U/L. She was diagnosed with severe preeclampsia, and an emergent cesarean section was performed.

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