| A case of HELLP syndrome in a patient with complete hydatidyform mole |
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Eun-Mi Kim, Seok Hyun Kim, Jae Kyu Sung, Byung Seok Lee, Heon Young Lee, Young-Bok Ko, Kwang-Sun Suh |
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| 완전 포상기태에서 발생한 HELLP 증후군 1예 |
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김은미, 김석현, 성재규, 이병석, 이헌영, 고영복, 서광선 |
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| Abstract |
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A 47-year-old woman was admitted to our emergency department with seizure and gross hematuria. Her blood pressure was 220/130 mmHg on admission. On abdominal examination, a firm mass reaching the umbilicus was felt arising from the pelvis. An ultrasound examination revealed a huge snow storm-appearing mass filling the uterine cavity but no fetus. Laboratory tests showed a high ß-hCG (>225,000 mU/mL), proteinuria (3+), elevated liver enzymes, low platelet count, and an abnormal peripheral blood smear. We diagnosed HELLP syndrome (hemolysis, elevated liver enzymes, and low platelets) with eclampsia in a patient with a complete hydatidiform mole. She underwent an emergency suction curettage for the hydatidiform mole. The liver enzymes and platelet count normalized about 2 weeks after the suction curettage. HELLP syndrome in a patient with hydatiform mole is very rare. Here, we report a patient who presented with a combination of HELLP syndrome, eclampsia, and a complete hydatidiform mole. |
| Key Words:
HELLP syndrome; Eclampsia; Hydatidiform mole |
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