[HELLP syndrome: about 17 cases and literature review]

ABSTRACT

HELLP syndrome is defined as an association of hemotytic anemia, raised liver enzymes and thrombocytopenia. It is a severe manifestation of pre-eclampsia. We tried to specify the epidemic factors and the best management of HELLP syndrome A retrospective study held during 6 years in the department of gynaecotogy and obstetrics in La Marsa hospital and according to a literature revue. The dominating symptoms included low abdominal pain and vomiting. The syndrome was discovered after 30.5 weeks of amenorrhea on average. Infant extraction was by cesarean section in 11 cases. Maternal morbidity was mainly marked by eclampsia and haemostatic disturbances while neonatal morbidity was attributable to the included prematurity. The main management consists essentially in a medical reanimation, in addition to a rapid foetal extraction