Massive Hepatic Infarction Caused by HELLP Syndrome

Abstract

A healthy, 30-year-old woman at 32 weeks gestation presented to the emergency department with sudden-onset headache and abdominal pain.On physical exam, she was hypertensive (188/69 mm Hg) and had mild tenderness to palpation in the right upper quadrant.Initial laboratory studies revealed proteinuria, aspartate aminotransferase at 730 U/L, and alanine aminotransferase at 478 U/L.She was diagnosed with severe preeclampsia, and an emergent cesarean section was performed.