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Liver Rupture in a Patient with HELLP Syndrome Successfully Treated with Extensive Surgery Combined with Recombinant Factor VIIa

HELLP syndrome can be a major complication occurring in pregnancy. The diagnosis HELLP syndrome is made upon laboratory findings : Haemolysis, Elevated Liver enzymes and Low Platelet count (1). Most of the patients present with an acute onset of pain in the abdomen, combined with nausea and vomiting. A serious life-threatening complication is the development of (subcapsular) liver bleeding, which occurs in less than 2% of patients diagnosed with HELLP syndrome (1). In this report a patient diagnosed with the HELLP syndrome is reported with a life-threatening liver bleeding which was successfully treated with a combination of surgery, intensive care treatment and with the use of recombinant factor VIIa. The patient will be presented in detail and relevant literature discussed.