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The radiologist cries "HELLP"!

E. A. Thomas, MRCP, FRCR J. A. Copplestone, MRCP, MRCPath ^* P. A. Dubbins, FRCR and J. R. Friend, FRCOG

Department of Radiology, Freedom Fields Hospital, Plymouth Department of Obstetrics and Gynaecology, Freedom Fields Hospital, Plymouth ^* Department of Haematology, Derriford Hospital, Plymouth

This excerpt was created in the absence of an abstract.

We report a case of the haemolysis, elevated liver enzymes, low platelets (HELLP) syndrome in a primigravida, in whom ultrasound examination demonstrated large, "geographical" areas of increased echogenicity within the right lobe of the liver. Haematological investigations showed classical features of the HELLP syndrome. Both the ultrasound signs and the serological tests reverted to normal soon after the delivery of the baby. There are no other reports of hepatic parenchymal abnormality detected sonographically. Although these features are non-specific, recognition of similar ultrasound appearances should alert radiologists to the need for urgent haematological investigations. Delayed treatment may lead to the death of the mother or baby.

Key Words: HELLP syndrome • Maternal liver ultrasound

Received for publication January 1, 1991.