HELLP syndrome complicated by subcapsular liver hematoma and pulmonary embolism: An extremely rare case report and literature review

HELLP syndrome consists of the triad hemolysis, elevated liver enzymes and low platelets count. It is usually developed in pregnant women with preeclampsia. Intrahepatic liver hematoma is an extremely rare complication of HELLP syndrome. Pulmonary embolism (PE) is not a typical complication of HELLP...

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Main Authors: E. Cervilla-Muñoz, F. Galeano-Valle, G. Villarreal-Paul, A. Enríquez-Gómez, S. De-Santos-Belinchón, J. Del-Toro-Cervera, P. Demelo-Rodríguez
Format: Article
Language:English
Published: Elsevier 2022-08-01
Series:Thrombosis Update
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666572722000190
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author E. Cervilla-Muñoz
F. Galeano-Valle
G. Villarreal-Paul
A. Enríquez-Gómez
S. De-Santos-Belinchón
J. Del-Toro-Cervera
P. Demelo-Rodríguez
author_facet E. Cervilla-Muñoz
F. Galeano-Valle
G. Villarreal-Paul
A. Enríquez-Gómez
S. De-Santos-Belinchón
J. Del-Toro-Cervera
P. Demelo-Rodríguez
author_sort E. Cervilla-Muñoz
collection DOAJ
description HELLP syndrome consists of the triad hemolysis, elevated liver enzymes and low platelets count. It is usually developed in pregnant women with preeclampsia. Intrahepatic liver hematoma is an extremely rare complication of HELLP syndrome. Pulmonary embolism (PE) is not a typical complication of HELLP syndrome but it may appear in the setting of prothrombotic status associated to pregnancy. We report a case of HELLP syndrome complicated with subcapsular and parenchymal liver hematoma and pulmonary embolism, which represents a therapeutic challenge because it faces the need to anticoagulate with the risk of bleeding.
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spelling doaj.art-1af420a534b14a468f554311882724252022-12-22T01:42:48ZengElsevierThrombosis Update2666-57272022-08-018100115HELLP syndrome complicated by subcapsular liver hematoma and pulmonary embolism: An extremely rare case report and literature reviewE. Cervilla-Muñoz0F. Galeano-Valle1G. Villarreal-Paul2A. Enríquez-Gómez3S. De-Santos-Belinchón4J. Del-Toro-Cervera5P. Demelo-Rodríguez6Venous Thromboembolism Unit, Internal Medicine, Hospital General Universitario Gregorio Marañón, Madrid, Spain; Corresponding author. Internal Medicine, Gregorio Marañón General University Hospital. St. Dr Esquerdo 46, 28007, Madrid, Spain.Venous Thromboembolism Unit, Internal Medicine, Hospital General Universitario Gregorio Marañón, Madrid, Spain; Department of Medicine, School of Medicine, Universidad Complutense de Madrid, Spain; Gregorio Marañón Health Research Institute, Madrid, SpainVenous Thromboembolism Unit, Internal Medicine, Hospital General Universitario Gregorio Marañón, Madrid, SpainVenous Thromboembolism Unit, Internal Medicine, Hospital General Universitario Gregorio Marañón, Madrid, SpainVenous Thromboembolism Unit, Internal Medicine, Hospital General Universitario Gregorio Marañón, Madrid, SpainVenous Thromboembolism Unit, Internal Medicine, Hospital General Universitario Gregorio Marañón, Madrid, Spain; Department of Medicine, School of Medicine, Universidad Complutense de Madrid, Spain; Gregorio Marañón Health Research Institute, Madrid, SpainVenous Thromboembolism Unit, Internal Medicine, Hospital General Universitario Gregorio Marañón, Madrid, Spain; Department of Medicine, School of Medicine, Universidad Complutense de Madrid, Spain; Gregorio Marañón Health Research Institute, Madrid, SpainHELLP syndrome consists of the triad hemolysis, elevated liver enzymes and low platelets count. It is usually developed in pregnant women with preeclampsia. Intrahepatic liver hematoma is an extremely rare complication of HELLP syndrome. Pulmonary embolism (PE) is not a typical complication of HELLP syndrome but it may appear in the setting of prothrombotic status associated to pregnancy. We report a case of HELLP syndrome complicated with subcapsular and parenchymal liver hematoma and pulmonary embolism, which represents a therapeutic challenge because it faces the need to anticoagulate with the risk of bleeding.http://www.sciencedirect.com/science/article/pii/S2666572722000190HELLP syndromeLiver hematomaPulmonary embolism
spellingShingle E. Cervilla-Muñoz
F. Galeano-Valle
G. Villarreal-Paul
A. Enríquez-Gómez
S. De-Santos-Belinchón
J. Del-Toro-Cervera
P. Demelo-Rodríguez
HELLP syndrome complicated by subcapsular liver hematoma and pulmonary embolism: An extremely rare case report and literature review
Thrombosis Update
HELLP syndrome
Liver hematoma
Pulmonary embolism
title HELLP syndrome complicated by subcapsular liver hematoma and pulmonary embolism: An extremely rare case report and literature review
title_full HELLP syndrome complicated by subcapsular liver hematoma and pulmonary embolism: An extremely rare case report and literature review
title_fullStr HELLP syndrome complicated by subcapsular liver hematoma and pulmonary embolism: An extremely rare case report and literature review
title_full_unstemmed HELLP syndrome complicated by subcapsular liver hematoma and pulmonary embolism: An extremely rare case report and literature review
title_short HELLP syndrome complicated by subcapsular liver hematoma and pulmonary embolism: An extremely rare case report and literature review
title_sort hellp syndrome complicated by subcapsular liver hematoma and pulmonary embolism an extremely rare case report and literature review
topic HELLP syndrome
Liver hematoma
Pulmonary embolism
url http://www.sciencedirect.com/science/article/pii/S2666572722000190
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