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Case Reports in Obstetrics and Gynecology
Volume 2017, Article ID 9845637, 4 pages
https://doi.org/10.1155/2017/9845637
Case Report

Recurrent HELLP Syndrome at 22 Weeks of Gestation

1Department of Obstetrics and Gynecology, Faculty Hospital Trencin, Trencin, Slovakia
2Faculty of Health, Alexander Dubcek University of Trencin, Trencin, Slovakia

Correspondence should be addressed to Peter Kascak; moc.liamg@kacsakp

Received 18 March 2017; Revised 12 June 2017; Accepted 9 July 2017; Published 8 August 2017

Academic Editor: Akihisa Fujimoto

Copyright © 2017 Peter Kascak 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

We describe a case of a woman who presented with HELLP syndrome in two subsequent pregnancies (age 36 and 40), at gestational age of 22 weeks in both pregnancies with a rapid onset and progression. She presented with characteristic clinical symptoms and laboratory findings. Both pregnancies were delivered by caesarean sections due to deterioration in the mother’s condition, although neither pregnancy progressed into the 1st stage of the syndrome according to Mississippi classification. This case highlights the admittedly rare but serious condition of recurring HELLP syndrome at a gestational age before the limit of viability of the fetus. In such situations, pregnancy termination should be considered to minimise risk to the mother’s life and health.