• Tuberculosis and Respiratory Diseases
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• 제59권4호
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• pp.418-422
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• 2005

HELLP syndrome에서 여러 출혈 합병증이 보고 되었으나, 아직 미만성 폐포출혈에 대한 보고는 없었다. HELLP syndrome이 합병된 임신 36주 임산부에서 분만 후 혈담과 단순 흉부 방사선 촬영상 양측성폐침윤이 관찰되어 기관지폐포세척술을 통해서 미만성 폐포출혈을 진단 및 치료 후 호전된 예를 경험하였기에 문헌과 함께 보고하는 바이다.

• The Korean Journal of Pain
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• 제12권2호
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• pp.253-257
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• 1999

Hemolysis, elevated liver enzymes and low platelets (HELLP) syndrome, a variant presentation of severe preeclampsia/eclampsia is associated with high maternal morbidity and mortality. Despite several advantages to the use of epidural analgesia for the management of labor pain in preeclamptic parturients, this procedure is relatively contraindicated in the presence of severe thrombocytopenia. Determining the pain management of choice depends on the parturient's condition, fetal well-being, and the urgency of the situation. We report a safe case of epidural analgesia in a HELLP syndrome parturient with severe thrombocytopenia for labor pain management without any neurologic complications or epidural hematoma.

• Clinical and Experimental Reproductive Medicine
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• 제40권1호
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• pp.38-41
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• 2013

Liver damage induced by ovarian stimulation has been demonstrated in some cases reported in the literature. However, there has never been a fruitful debate on this topic. The present manuscript tried to fill this gap. We reported a case of a 35-year-old nulliparous woman admitted to our obstetric emergency room for severe pre-eclampsia. She had been subjected to four cycles of controlled ovarian stimulation for intrauterine insemination. At 32 weeks of gestation, she developed severe pre-eclampsia, which led to HELLP syndrome complicated by fatal liver failure. The etiological link between ovarian stimulation and HELLP syndrome is intriguing. Further investigations are needed to understand whether repeated ovarian stimulation may represent a risk factor in pre-eclamptic patients.