Síndrome de Hellp como complicación de la preeclampsia severa periodo agosto 2023

Abstract

Introduction: HELLP syndrome is a rare hypertensive disorder of pregnancy, associated with severe maternal-fetal complications. Objective: To analyze a clinical case of HELLP syndrome as a complication of severe preeclampsia, highlighting the importance of early detection and appropriate treatment. Methodology: a comprehensive search for information was conducted at the Matilde Hidalgo del Procel Specialized Hospital during August 2023, using verified and updated sources from repositories and journals accepted by the Catholic University of Cuenca, including Pubmed, Science, Medline, and Cochrane. Priority was given to the inclusion of guidelines, reviews, and studies published in the last five years, in Spanish or English. Clinical Case: the patient, a 22-year-old primigravida from Guayas, Guayaquil, with a family history of arterial hypertension, was diagnosed with HELLP syndrome and severe preeclampsia at 31 weeks of gestation, after five prenatal check-ups and an ultrasound. Given the severity of her condition, the decision was made to end the pregnancy through cesarean section, accompanied by a transfusion of cryoprecipitate and platelet apheresis. Subsequently, she developed severe complications such as ascites and acute pulmonary edema, although she managed to stabilize despite maintaining high blood pressure (136/84 mmHg). Finally, she was transferred to the ICU of a University Hospital to receive specialized care. Conclusion: this case underscores the urgency of early identification and treatment of HELLP syndrome and its complications, highlighting the need for an individualized approach based on the patient's biomedical parameters, as well as the importance of conservative management and specialized care.