Cholecystitis Associated with HELLP Syndrome in Previously Preeclampsia Patient

Abstract

In this article, we report a pregnant woman with HELLP syndrome (hemolysis findings, elevated liver enzymes, and low platelets) and acute cholecystitis. She was first admitted due to epigastric pain, nausea, and vomiting, which was managed and discharged after three days. She was admitted due to severe right upper quadrant pain, which sonography showed cholecystitis; however, the levels of lactate dehydrogenase level, ALT, AST, and platelet suspects to HELLP syndrome, and after two days of current admission, these parameters became 2148 IU/L, 199 U/L, 230 U/L, and 43000 respectively, which led us to a definitive diagnosis of HELLP syndrome patient underwent cesarean section surgery, which led to significant improvement in laboratory findings Afterward, on day 3, the patient went on laparoscopic cholecystectomy surgery. Finally, on the seventh day of admission, all parameters were normal, and the patient was discharged without complications.