Abstract
Hemolysis, elevated liver enzymes, low platelet count (HELLP) syndrome describes a cohort of disease processes that may have devastating consequences for the peripartum patient. Although the hemopoetic and hepatic systems are classically involved, we illustrate a case of walled-off pancreatic necrosis occurring in a woman with HELLP syndroM.E. Initially managed with resuscitation, steroids, and plasmapheresis, the patient developed necrotizing pancreatitis that overtime became walled-off. Despite attempts at percutaneous drainage, the patient ultimately had a video-assisted retroperitoneal debridement. As there are no descriptions in the literature of walled-off pancreatic necrosis stemming from HELLP syndrome, this case provides a new avenue from which to study the pathophysiology and provides a management strategy for this problem.
Original language | English (US) |
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Pages (from-to) | e152-e154 |
Journal | Surgical Laparoscopy, Endoscopy and Percutaneous Techniques |
Volume | 22 |
Issue number | 3 |
DOIs | |
State | Published - Jun 2012 |
Externally published | Yes |
Keywords
- HELLP syndrome
- VARD
- WOPN
- necrosis
- pancreas
ASJC Scopus subject areas
- Surgery