HELLP syndrome
The syndrome of haemolysis, elevated liver enzymes and low platelets (HELLP) is thought to be part of the spectrum of pre-eclampsia. It usually presents antenatally but can also appear for the first time in the postnatal period. The presenting symptoms can be the same as those of pre-eclampsia but can also include headache, right upper quadrant pain and visual disturbance. HELLP can be complicated by liver haematoma and capsular rupture. Management involves supportive care, control of hypertension, correction of coagulopathy and delivery of the fetus.
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