HELLP syndrome and digestive disease

Differential diagnosis

Research output: Contribution to journalReview article

Abstract

The early detection of HELLP syndrome (hemolysis, elevated liver enzymes, and low platelets) is the basic condition for an immediate therapeutic management, which mainly leads to prompt delivery. The classical symptoms are epigastric or right upper quadrant pain, nausea and vomiting, although they may be absent in 20% of women. The differential diagnostic problems of HELLP syndrome arise in relation to the mimicry-symptomatic upper abdominal pain which can imitate gastroenterologic diseases (e.g. cholelythiasis, appendicitis); the elevated liver enzymes combinated with hyperbilirubinemia can imitate liver diseases (e.g. viral hepatitis). The delay and detours in interdisciplinary approach are often the consequences of these differential diagnostic problems, which could imply deleterious effects on the mother and the fetus, until reaching the final diagnosis. Therefore, all pregnant women with upper abdominal pain, irrespective of symptoms of pre-eclampsia, should be considered to have HELLP syndrome and immediate laboratory evaluation has to be done. If there is any doubt an interdisciplinary consultation is required.

Original languageEnglish
Pages (from-to)93-96
Number of pages4
JournalArchives of Gastroenterohepatology
Volume16
Issue number3
Publication statusPublished - Jan 1 1997

Fingerprint

HELLP Syndrome
Differential Diagnosis
Abdominal Pain
Hyperbilirubinemia
Liver
Appendicitis
Enzymes
Hemolysis
Pre-Eclampsia
Nausea
Hepatitis
Vomiting
Liver Diseases
Pregnant Women
Fetus
Referral and Consultation
Blood Platelets
Mothers
Pain
Therapeutics

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

Cite this

HELLP syndrome and digestive disease : Differential diagnosis. / Terzic, M. M.

In: Archives of Gastroenterohepatology, Vol. 16, No. 3, 01.01.1997, p. 93-96.

Research output: Contribution to journalReview article

@article{1f68c66985d44c22a82ebbed90dd05d0,
title = "HELLP syndrome and digestive disease: Differential diagnosis",
abstract = "The early detection of HELLP syndrome (hemolysis, elevated liver enzymes, and low platelets) is the basic condition for an immediate therapeutic management, which mainly leads to prompt delivery. The classical symptoms are epigastric or right upper quadrant pain, nausea and vomiting, although they may be absent in 20{\%} of women. The differential diagnostic problems of HELLP syndrome arise in relation to the mimicry-symptomatic upper abdominal pain which can imitate gastroenterologic diseases (e.g. cholelythiasis, appendicitis); the elevated liver enzymes combinated with hyperbilirubinemia can imitate liver diseases (e.g. viral hepatitis). The delay and detours in interdisciplinary approach are often the consequences of these differential diagnostic problems, which could imply deleterious effects on the mother and the fetus, until reaching the final diagnosis. Therefore, all pregnant women with upper abdominal pain, irrespective of symptoms of pre-eclampsia, should be considered to have HELLP syndrome and immediate laboratory evaluation has to be done. If there is any doubt an interdisciplinary consultation is required.",
author = "Terzic, {M. M.}",
year = "1997",
month = "1",
day = "1",
language = "English",
volume = "16",
pages = "93--96",
journal = "Archives of Gastroenterohepatology",
issn = "0354-2440",
publisher = "Serbian Medical Association",
number = "3",

}

TY - JOUR

T1 - HELLP syndrome and digestive disease

T2 - Differential diagnosis

AU - Terzic, M. M.

PY - 1997/1/1

Y1 - 1997/1/1

N2 - The early detection of HELLP syndrome (hemolysis, elevated liver enzymes, and low platelets) is the basic condition for an immediate therapeutic management, which mainly leads to prompt delivery. The classical symptoms are epigastric or right upper quadrant pain, nausea and vomiting, although they may be absent in 20% of women. The differential diagnostic problems of HELLP syndrome arise in relation to the mimicry-symptomatic upper abdominal pain which can imitate gastroenterologic diseases (e.g. cholelythiasis, appendicitis); the elevated liver enzymes combinated with hyperbilirubinemia can imitate liver diseases (e.g. viral hepatitis). The delay and detours in interdisciplinary approach are often the consequences of these differential diagnostic problems, which could imply deleterious effects on the mother and the fetus, until reaching the final diagnosis. Therefore, all pregnant women with upper abdominal pain, irrespective of symptoms of pre-eclampsia, should be considered to have HELLP syndrome and immediate laboratory evaluation has to be done. If there is any doubt an interdisciplinary consultation is required.

AB - The early detection of HELLP syndrome (hemolysis, elevated liver enzymes, and low platelets) is the basic condition for an immediate therapeutic management, which mainly leads to prompt delivery. The classical symptoms are epigastric or right upper quadrant pain, nausea and vomiting, although they may be absent in 20% of women. The differential diagnostic problems of HELLP syndrome arise in relation to the mimicry-symptomatic upper abdominal pain which can imitate gastroenterologic diseases (e.g. cholelythiasis, appendicitis); the elevated liver enzymes combinated with hyperbilirubinemia can imitate liver diseases (e.g. viral hepatitis). The delay and detours in interdisciplinary approach are often the consequences of these differential diagnostic problems, which could imply deleterious effects on the mother and the fetus, until reaching the final diagnosis. Therefore, all pregnant women with upper abdominal pain, irrespective of symptoms of pre-eclampsia, should be considered to have HELLP syndrome and immediate laboratory evaluation has to be done. If there is any doubt an interdisciplinary consultation is required.

UR - http://www.scopus.com/inward/record.url?scp=0030971691&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030971691&partnerID=8YFLogxK

M3 - Review article

VL - 16

SP - 93

EP - 96

JO - Archives of Gastroenterohepatology

JF - Archives of Gastroenterohepatology

SN - 0354-2440

IS - 3

ER -