The Liver and Foetus at Risk- Antiphospholipid Syndrome and HELLP Syndrome.

Antiphospholipid Syndrome (APS) is an autoimmune disorder characterised by the association of thrombosis and obstetric complication. It is noted that the occurrence of haemolysis, elevated liver enzyme levels and low platelet count (HELLP) syndrome complicated with spontaneous rupture of liver is increased in APS associated pregnancy. We here report a case of a twenty six year old gravid female who developed foetal death and a subsequent spontaneous liver rupture due to HELLP syndrome and secondary APS. This report not only emphasises the prompt recognition of APS to pick up obstetrics and foetal complications early, but also points out the importance of the myriad presentations of APS.