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

Talat Dabaghi, M. Shariati, Masoumeh Dadashaliha, M. Bakhshayesh, A. Zargar
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Abstract

dehydrogenase 2171 IU/L and platelet of 53000 mm 3 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.
妊娠期急性重症胰腺炎伪装为部分溶血、肝酶升高、低血小板(HELLP)综合征
脱氢酶2171 IU/L,血小板53000 mm 3,发病48 h后也提示部分HELLP综合征的可能性。然而,鉴别诊断结果排除了弥散性血管内凝血(DIC)、血栓性血小板减少性紫癜(TTP)、系统性红斑狼疮(SLE)和抗磷脂综合征的存在。由于上述诊断,我们终止了她的妊娠,并推迟了胆囊切除术。结论:无论是恶化的急性重症胰腺炎还是HELLP,终止妊娠都可以挽救患者的生命。
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