Details

Autor(en) / Beteiligte

• Nakamura, Kensuke, MD, PhD
• Inokuchi, Ryota, MD, PhD
• Sonoo, Tomohiro, MD
• Hiruma, Takahiro, MD, PhD
• Tokunaga, Kurato, MD
• Doi, Kent, MD, PhD

Titel

Late postpartum HELLP syndrome over 10 days after delivery

Ist Teil von

• The American journal of emergency medicine, 2016-11, Vol.34 (11), p.2258.e1-2258.e3

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2016

Quelle

MEDLINE

Beschreibungen/Notizen

• Abstract Most cases of postpartum HELLP syndrome develop within 48 hours after delivery, however, there is no reliable knowledge how long the postpartum HELLP can delay to onset. We report postpartum HELLP syndrome developed 10 or more days after delivery. The patient was a healthy 25-year-old female. She gave birth to a healthy boy at 40 weeks of gestation by spontaneous delivery. Blood pressure was within the normal range. Spike fever developed at 2 and 5 days after delivery, and she was re-admitted at 10 days after delivery. On this admission, no abnormality was detected. However, marked anemia, liver disorder, and thrombocytopenia developed at 13 days and she was transferred to the emergency and critical care center. Recombinant thrombomodulin was administered, and symptoms started to improve after about 5 days. This case may have been postpartum HELLP syndrome which developed over 10 days after delivery. As shown by this case, there may be cases developing delayed, for which careful follow-up is necessary.