“Síndrome de hellp como complicación de preeclampsia”

Abstract

This case is about a 31 years old woman who was in her 33, 2 weeks gestation and 6 prenatal care, she attends to a medical center because of a tummy ache, irregular uterine activity, 120/80 blood pressure, any cervical alteration, this medical chart is cataloged as a threat of preterm birth, it was treated with uterus inhibitors and fetal lung maturity and is sent home. Four day later, she comes back having a severe headache, stomachache, 155/98 mmHg blood pressure, 500 mg/dl proteinuria, TGO: 485,20 U/L, TGP: 189,80 U/L, LDH: 952 U/L; she receives magnesium sulphate and was sent to a better medical center, where the doctor decide to end up the pregnancy time by a caesarian section in order to safe the baby´s life. They find out placental accretion and bleeding so they had to do a subtotal hysterectomy with globular packages transfusion and reinstate-ment with crystalloids. After two days, she shows ascites and pleural effusion that was treated with loop diuretics, having good results she was sent home.