Síndrome HELLP: relato de caso / HELLP syndrome: case report

RESUMO

Este artigo relata o caso de paciente de 20 anos de idade, feoderma, grávida de 35 semanas e três dias, primigesta, com síndrome HELLP. Foi internada na Maternidade do Hospital das Clínicas da UFMG após apresentar lombalgia e vômitos. Foram constatadas hipertensão e proteinúria. Submeteu-se à propedêutica para síndrome HELLP, que revelou plaquetopenia, elevação de transaminases e de desidrogenase lática. A gestante foi submetida a cesariana segmentar sob anestesia geral. Evoluiu com hipotonia uterina e hemorragia puerperal. Recebeu concentrado de plaquetas e de hemácias. Teve alta após cinco dias, com exames laboratoriais normais.

ABSTRACT

This is the case report a 20-year-old pregnant woman, yellow-skinned (feoderma), with gestational age 35 weeks and 3 days, primigravida with a final diagnosis of HELLP syndrome. She was admitted at the Maternity section of Hospital das Clínicas da UFMG, after presenting symptoms of low back pain, abdominal pain and vomiting. The physical examination and tests found hypertension and proteinuria. The laboratory tests for HELLP syndrome revealed thrombocytopenia, elevated transaminases and lactate dehydrogenase (LDH). The patient underwent a caesarean section under general anesthesia. She presented hypotonic uterine inertia and postpartum hemorrhage. The patient was given platelet concentrates and red blood cells. She was discharged after the 5th day, with normal laboratory.