Journal of Acute Care

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VOLUME 2 , ISSUE 2 ( May-August, 2023 ) > List of Articles

CASE REPORT

A Rare Case of Hemolysis, Elevated Liver Enzymes, and Low Platelets Syndrome Causing Acute Pancreatitis

Adithya S Chiranjeevi, Varun M Nagaraja, Pradeep M Venkategowda, Jayalakshmi M Manjunath

Keywords : Case report, Hemolysis, elevated liver enzymes, and low platelets syndrome, Pain abdomen, Pancreatitis, Pregnancy

Citation Information : Chiranjeevi AS, Nagaraja VM, Venkategowda PM, Manjunath JM. A Rare Case of Hemolysis, Elevated Liver Enzymes, and Low Platelets Syndrome Causing Acute Pancreatitis. 2023; 2 (2):74-76.

DOI: 10.5005/jp-journals-10089-0077

License: CC BY-NC 4.0

Published Online: 30-10-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Most cases of acute pancreatitis (AP) in pregnancy are attributed to gallstones. The hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome causing AP is very rare. This is a case of a 26-year-old female who had a normal delivery 2 days back following a full-term pregnancy complicated with preeclampsia (PE). She presented to our hospital with a history of pain abdomen, fever, and vomiting for 2 days. She had PE for which she was treated with tablets aspirin and labetalol. Routine investigations revealed thrombocytopenia, hemolysis, elevated alanine aminotransferase (ALT), and aspartate aminotransferase (AST) suggestive of HELLP syndrome. Blood investigation revealed elevated serum amylase and lipase levels along with computed tomography (CT) of the abdomen suggestive of AP. She was diagnosed to be having HELLP syndrome-associated AP and was managed conservatively. The patient's condition and lab parameters improved gradually and discharged home in stable condition. This case report highlights a rare case of HELLP syndrome causing AP.


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