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European Radiology
Published in: European Radiology 1/2007

01-01-2007 | Interpretation Corner

An unusual case of elevated liver enzymes (2006: 10b)

Authors: J. O’Brien, O. Buckley, P. L. Munk, W. C. Torreggiani

Published in: European Radiology | Issue 1/2007

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Abstract

HELLP syndrome is a form of severe pre-eclampsia with multisystem involvement. Laboratory markers include haemolysis (H), elevated liver enzymes (EL), and low platelets (LP). We present a patient to our institution with HELLP syndrome complicated by liver necrosis. The patient underwent urgent Caesarian section prior to transfer.
Literature
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Chiang KS, Athey PA, Lamki N (1991) Massive hepatic necrosis in the HELLP syndrome: CT correlation. J Comput Assist Tomogr 15:845–847PubMedCrossRef
2.
Nunes J, Turner M, Fulcher A (2005) Abdominal imaging features of HELLP syndrome: a 10-year retrospective review. AJR Am J Roentgenol 185:1205–1210PubMedCrossRef
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Seige M, Schweigart U, Moessmer G et al (1998) Extensive hepatic infarction caused by thrombosis of right portal vein branches and arterial vasospasm in HELLP syndrome associated with homozygous factor V Leiden. Am J Gastroenterol 93:473–474PubMed
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Kronthal AJ, Fishman EK, Kuhlman JE, Bohlman ME (1990) Hepatic infarction in preeclampsia. Radiology 177:726–728PubMed
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Zissin R, Yaffe D, Fejgin M et al (1999) Hepatic infarction in pre-eclampsia as part of the HELLP syndrome: CT appearance. Abdom Imaging 24:594–596PubMedCrossRef
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Rinehart BK, Terrone Da, Magann EF et al (1999) Preeclampsia associated hepatic haemorrhage and rupture: mode of management related to maternal and perinatal outcome. Obstet Gynaecol Surv 5:196–202CrossRef
Metadata
Title
An unusual case of elevated liver enzymes (2006: 10b)
Authors
J. O’Brien
O. Buckley
P. L. Munk
W. C. Torreggiani
Publication date
01-01-2007
Publisher
Springer-Verlag
Published in
European Radiology / Issue 1/2007
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-006-0375-2

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