Journal of Isfahan Medical School

Journal of Isfahan Medical School

Hemolysis, Elevated Liver Enzyme Levels, and Low Platelet Levels (HELLP) Syndrome in Spontaneous Singleton Pregnancy Complicated by Hyperreactio Luteinalis: A Case Report

Document Type : Case Report

Authors
Farahnaz Mardanian 1
Marzieh Rezae 2
Ali-Mohammad Taefnia 3
Farahnaz Rezaei 4
1 Associate Professor, Department of Obstetrics and Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2 Gynecologist, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
3 Resident, Department of Urology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
4 Health Center No. 2, Isfahan Province Health enter, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
Background: Hyperreactio Luteinalis (HL) is a rare condition during spontaneous pregnancy characterized by bilaterally, or in rare cases, unilaterally enlarged ovaries containing multiple self-limited theca lutein cysts, usually associated with high maternal serum levels of human chorionic gonadotropin (HCG) and hyperandrogenic state. Most of the patients require surgical intervention during their pregnancy because of ovarian torsion, preeclampsia, syndrome of hemolysis, elevated liver enzyme levels, and low platelet levels (HELLP), or to rule out ovarian malignancy. However, we can avoid unnecessary surgical intervention with accurate diagnosis of HL by means of laboratory tests and magnetic resonance imaging (MRI).Case Report: A 27-year-old pregnant woman with gestational age of 27 weeks was admitted with labor pain and complicated with HELLP syndrome. In ultrasonography, bilateral and multiple ovarian cysts were seen.Conclusion: Reviewing this case suggests a relationship between HL and HELLP syndrome and may help to explain the underlying causes of preeclampsia; HL may be a predictor of preeclampsia and HELLP syndrome in pregnancy.
Keywords
Hemolysisl
elevated liver enzymes, and low platelets (HELLP) syndrome
Hyperreactio luteinalis
Preeclampsia
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Journal of Isfahan Medical School
Volume 31, Issue 268 - Serial Number 268
November and December 2014
Pages 2250-2256

  • Receive Date 22 July 2013
  • Accept Date 06 April 2022