Severe pre-eclampsia and HELLP syndrome after massive fetomaternal hemorrhage following blunt abdominal trauma

V J Faber; F J Klumper; S Scherjon; W J van Wijngaarden

doi:10.1016/j.preghy.2011.04.001

Severe pre-eclampsia and HELLP syndrome after massive fetomaternal hemorrhage following blunt abdominal trauma

Pregnancy Hypertens. 2011 Jul-Oct;1(3-4):197-9. doi: 10.1016/j.preghy.2011.04.001. Epub 2011 May 11.

Authors

V J Faber¹, F J Klumper², S Scherjon², W J van Wijngaarden³

Affiliations

¹ Dept. of Obstetrics and Gynaecology, Bronovo Hospital, The Hague, The Netherlands. Electronic address: vjfaber@gmail.com.
² Dept. of Obstetrics and Fetal Medicine, Leiden University Medical Centre, The Netherlands.
³ Dept. of Obstetrics and Gynaecology, Bronovo Hospital, The Hague, The Netherlands.

PMID: 26009026
DOI: 10.1016/j.preghy.2011.04.001

Abstract

Severe pre-eclampsia and HELLP syndrome developed within 24h after a 31year old nulliparous woman suffered a blunt abdominal trauma with massive fetomaternal hemorrhage and fetal intracranial bleeding. This is the first case reported of fulminating pre-eclampsia and HELLP syndrome following maternal exposure to a large amount of fetal cells and/or fetal cell debris as DNA or microparticles.

Keywords: Blunt abdominal trauma; HELLP syndrome; Intracranial bleeding; Massive fetomaternal hemorrhage; Pre-eclampsia.