Anesthetic management of HELLP syndrome complicating primary antiphospholipid syndrome: A case report.
10.4097/kjae.2012.62.6.575
- Author:
Youn Yi JO
1
;
Kyung Cheon LEE
;
Hong Soon KIM
;
Hyun Kyung BAE
;
Young Jin CHANG
Author Information
1. Department of Anesthesiology and Pain Medicine, Gachon University of Medicine and Science Gil Medical Center, Incheon, Korea. yjsk@gilhospital.com
- Publication Type:Case Report
- Keywords:
Antiphospholipid syndrome;
Eclampsia;
HELLP
- MeSH:
Adult;
Antiphospholipid Syndrome;
Eclampsia;
Emergencies;
Female;
HELLP Syndrome;
Hematocrit;
Humans;
Platelet Count;
Pregnancy;
Seizures;
Thrombosis
- From:Korean Journal of Anesthesiology
2012;62(6):575-578
- CountryRepublic of Korea
- Language:English
-
Abstract:
Antiphospholipid syndrome (APS) is defined as an autoimmune disorder characterized by recurrent thrombosis or obstetrical morbidity. A 29-year-old woman who was diagnosed with APS underwent emergency cesarean delivery at 23 weeks' gestation. She had a seizure attack and her laboratory findings were: AST/ALT 1459/1108 IU/L, LDH 1424 IU/L, 30% hematocrit, a platelet count of 43 x 10(3)/ml and urine protein (4+). We describe the anesthetic experience of catastrophic HELLP syndrome with antiphospholipid syndrome and we review the relevant literature.
