To Clot or Not: HELLP Syndrome and Disseminated Intravascular Coagulation in an Eclamptic Patient with Intrauterine Fetal Demise

Justin Walker; Anthony Bonavia

doi:10.1155/2020/9642438

To Clot or Not: HELLP Syndrome and Disseminated Intravascular Coagulation in an Eclamptic Patient with Intrauterine Fetal Demise

Case Rep Anesthesiol. 2020 Jul 7:2020:9642438. doi: 10.1155/2020/9642438. eCollection 2020.

Authors

Justin Walker¹, Anthony Bonavia^{1

2}

Affiliations

¹ Department of Anesthesiology and Perioperative Medicine, Penn State Health Milton S. Hershey Medical Center, 500 University Dr., Mailcode H187, Hershey, PA 17033, USA.
² Department of Pharmacology, Penn State College of Medicine, 700 HMC Crescent Road, Hershey, PA 17033, USA.

Abstract

A 39-year-old G2P1001 female presented from an outside hospital following an eclamptic seizure in the setting of HELLP syndrome. This condition was complicated by intrauterine fetal demise and disseminated intravascular coagulation, which required an emergent cesarean section. We report the work-up and intraoperative and postoperative management of this complex patient with multiple medical needs. We focus on the hemostatic abnormalities in this patient and describe how our management would differ from that of a similar, nonpregnant patient.

Publication types

Case Reports