Premium
HELLP syndrome: An ultrasound case of geographically altered liver parenchymal echogenicity with shear wave elastography, shear wave dispersion and attenuation imaging correlation
Author(s) -
Mould Andrea,
Abbott Steven,
Welman Christopher J.
Publication year - 2020
Publication title -
australasian journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
eISSN - 2205-0140
pISSN - 1836-6864
DOI - 10.1002/ajum.12185
Subject(s) - medicine , hellp syndrome , ultrasound , echogenicity , attenuation , pregnancy , radiology , obstetrics , preeclampsia , physics , genetics , biology , optics
HELLP syndrome is a rare, potentially life threatening obstetric condition that is diagnosed by the combination of Haemolysis, Elevated Liver enzyme levels, and Low Platelets ( Pregnancy Hypertens , 1, 164, 2011). HELLP affects between 0.5% and 0.9% of all pregnancies ( BMC Pregnancy Childbirth , 9, 8, 2009), however less than 0.5% of HELLP syndrome cases demonstrate any imaging abnormalities ( Am J Roentgenol 185, 1205, 2005). This case report outlines the use of three new liver ultrasound technologies – shear wave elastography (SWE), shear wave dispersion (SWD) and attenuation imaging (ATI) in the evaluation of a patient with HELLP syndrome. The ultrasound applications were used to examine temporal changes of the disease with corresponding biochemical variations. The SWE and SWD values correlated with B mode ultrasound imaging and the clinical findings of HELLP.