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Acute Severe Pancreatitis in Pregnancy Masquerading as Partial Hemolysis Elevated Liver enzymes Low Platelet (HELLP) Syndrome

Dabaghi, Talat and Shariati, Mona and Dadashaliha, Masoumeh and Talebi Bakhshayesh, Mousa and Zargar, Ali (2015) Acute Severe Pancreatitis in Pregnancy Masquerading as Partial Hemolysis Elevated Liver enzymes Low Platelet (HELLP) Syndrome. Biotechnology and health sciences.

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Abstract

Introduction: Acute severe pancreatitis may result in biochemical abnormalities resembling those seen in Hemolysis Elevated Liver enzymes Low Platelet (HELLP) Syndrome. Case Presentation: A 17-year-old female with 27 weeks of gestation presented mild acute pancreatitis. Based on the criteria of persistent Systemic Inflammatory Response Syndrome (SIRS) she subsequently developed severe pancreatitis. Bilirubin 2.2 mg/dL, lactate dehydrogenase 2171 IU/L and platelet of 53000 mm3 after 48 hours of the onset of pain, also indicated the possibility of partial HELLP syndrome. However, the results of the differential diagnosis ruled out the presence of Disseminated Intravascular Coagulation (DIC), Thrombotic Thrombocytopenic Purpura (TTP), Systemic Lupus Erythematosus (SLE) and Anti phospholipids syndrome. We terminated her pregnancy due to the above-mentioned diagnoses and postponed the cholecystectomy. Conclusions: Termination of pregnancy was performed as it would save the patient’s life in either deteriorated acute severe pancreatitis or HELLP. Keywords: Pancreatitis; Syndrome; Pregnancy

Item Type: Article
Subjects: R Medicine > RG Gynecology and obstetrics
Divisions: University Portal > vice chancellor > vcr
Depositing User: pr vcen research
Date Deposited: 23 Jun 2015 08:16
Last Modified: 23 Jun 2015 08:16
URI: http://eprints.qums.ac.ir/id/eprint/1595

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