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Case Reports in Obstetrics and Gynecology
Volume 2012, Article ID 856135, 4 pages
http://dx.doi.org/10.1155/2012/856135
Case Report

HELLP Syndrome Complicated with Postpartum Subcapsular Ruptured Liver Hematoma and Purtscher-Like Retinopathy

Anesthesiology and Intensive Care Department, County Emergency Hospital, 200516 Craiova, Romania

Received 29 March 2012; Accepted 21 June 2012

Academic Editors: E. Cosmi, M. Geary, and D. Hochner-Celnikier

Copyright © 2012 Daniela Cernea et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purtscher's retinopathy is usually associated with trauma, acute pancreatitis, vasculitis, lupus, and bone fractures. It was rarely described postpartum in patients with preeclampsia as well as associated with HELLP syndrome. We present a case of a multiparous patient aged 44 with severe preeclampsia and postpartum HELLP syndrome complicated with Purtscher-like retinopathy and large ruptured subcapsular liver hematoma that required emergency abdominal surgery after premature delivery of a dead fetus. Postsurgical outcome was favorable regarding both liver function and visual acuity.