A case of atypical HELLP (haemolysis, elevated liver enzymes and low platelet count) syndrome presenting as bleeding from the epidural puncture site during labour

Roopa, S.; Hegde, Harihar V.; Pai, Rohini Bhat; Yaliwal, Vijay G.; Rao, Raghavendra P.

dc.contributor.author	Roopa, S.
dc.contributor.author	Hegde, Harihar V.
dc.contributor.author	Pai, Rohini Bhat
dc.contributor.author	Yaliwal, Vijay G.
dc.contributor.author	Rao, Raghavendra P.
dc.date.accessioned	2012-12-15T09:57:48Z
dc.date.available	2012-12-15T09:57:48Z
dc.date.issued	2010
dc.identifier.citation	Current Anaesthesia & Critical Care. 2010; 21(3): 153-155.	en_US
dc.identifier.issn	0953-7112
dc.identifier.uri	http://hdl.handle.net/123456789/273
dc.description.abstract	HELLP (haemolysis, elevated liver enzymes and low platelet count) syndrome has been recognised as a life threatening complication of pregnant women for many years. The majority of women with HELLP syndrome have hypertension and proteinuria which may be absent in 10e20% of casesereferred to as atypical HELLP. A primigravida received epidural labour analgesia and she continued to bleed from the skin puncture site. Evaluation for the cause of bleed established the diagnosis of atypical HELLP syndrome. Although rarely encountered, an atypical HELLP may have dangerous anaesthetic conse- quences when clinicians are caught unawares. We report one such case with atypical presentation.	en_US
dc.language.iso	en	en_US
dc.publisher	Elsevier	en_US
dc.subject	HELLP syndrome	en_US
dc.subject	Epidural labour analgesia	en_US
dc.subject	Thrombocytopenia	en_US
dc.title	A case of atypical HELLP (haemolysis, elevated liver enzymes and low platelet count) syndrome presenting as bleeding from the epidural puncture site during labour	en_US
dc.type	Article	en_US