A case of video-assisted retroperitoneal debridement in a patient with HELLP syndrome

Jay A. Graham, Brenton R. Franklin, Patrick G. Jackson

Research output: Contribution to journalArticle

Abstract

Hemolysis, elevated liver enzymes, low platelet count (HELLP) syndrome describes a cohort of disease processes that may have devastating consequences for the peripartum patient. Although the hemopoetic and hepatic systems are classically involved, we illustrate a case of walled-off pancreatic necrosis occurring in a woman with HELLP syndroM.E. Initially managed with resuscitation, steroids, and plasmapheresis, the patient developed necrotizing pancreatitis that overtime became walled-off. Despite attempts at percutaneous drainage, the patient ultimately had a video-assisted retroperitoneal debridement. As there are no descriptions in the literature of walled-off pancreatic necrosis stemming from HELLP syndrome, this case provides a new avenue from which to study the pathophysiology and provides a management strategy for this problem.

Original languageEnglish (US)
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume22
Issue number3
DOIs
StatePublished - Jun 2012
Externally publishedYes

Fingerprint

Debridement
Hemolysis
Platelet Count
Liver
Enzymes
Necrosis
Peripartum Period
Plasmapheresis
Resuscitation
Pancreatitis
Drainage
Steroids

Keywords

  • HELLP syndrome
  • necrosis
  • pancreas
  • VARD
  • WOPN

ASJC Scopus subject areas

  • Surgery

Cite this

A case of video-assisted retroperitoneal debridement in a patient with HELLP syndrome. / Graham, Jay A.; Franklin, Brenton R.; Jackson, Patrick G.

In: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, Vol. 22, No. 3, 06.2012.

Research output: Contribution to journalArticle

@article{3feef2b94aee4b8bab604e31d7d59b41,
title = "A case of video-assisted retroperitoneal debridement in a patient with HELLP syndrome",
abstract = "Hemolysis, elevated liver enzymes, low platelet count (HELLP) syndrome describes a cohort of disease processes that may have devastating consequences for the peripartum patient. Although the hemopoetic and hepatic systems are classically involved, we illustrate a case of walled-off pancreatic necrosis occurring in a woman with HELLP syndroM.E. Initially managed with resuscitation, steroids, and plasmapheresis, the patient developed necrotizing pancreatitis that overtime became walled-off. Despite attempts at percutaneous drainage, the patient ultimately had a video-assisted retroperitoneal debridement. As there are no descriptions in the literature of walled-off pancreatic necrosis stemming from HELLP syndrome, this case provides a new avenue from which to study the pathophysiology and provides a management strategy for this problem.",
keywords = "HELLP syndrome, necrosis, pancreas, VARD, WOPN",
author = "Graham, {Jay A.} and Franklin, {Brenton R.} and Jackson, {Patrick G.}",
year = "2012",
month = "6",
doi = "10.1097/SLE.0b013e318248f92b",
language = "English (US)",
volume = "22",
journal = "Surgical Laparoscopy and Endoscopy",
issn = "1530-4515",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - A case of video-assisted retroperitoneal debridement in a patient with HELLP syndrome

AU - Graham, Jay A.

AU - Franklin, Brenton R.

AU - Jackson, Patrick G.

PY - 2012/6

Y1 - 2012/6

N2 - Hemolysis, elevated liver enzymes, low platelet count (HELLP) syndrome describes a cohort of disease processes that may have devastating consequences for the peripartum patient. Although the hemopoetic and hepatic systems are classically involved, we illustrate a case of walled-off pancreatic necrosis occurring in a woman with HELLP syndroM.E. Initially managed with resuscitation, steroids, and plasmapheresis, the patient developed necrotizing pancreatitis that overtime became walled-off. Despite attempts at percutaneous drainage, the patient ultimately had a video-assisted retroperitoneal debridement. As there are no descriptions in the literature of walled-off pancreatic necrosis stemming from HELLP syndrome, this case provides a new avenue from which to study the pathophysiology and provides a management strategy for this problem.

AB - Hemolysis, elevated liver enzymes, low platelet count (HELLP) syndrome describes a cohort of disease processes that may have devastating consequences for the peripartum patient. Although the hemopoetic and hepatic systems are classically involved, we illustrate a case of walled-off pancreatic necrosis occurring in a woman with HELLP syndroM.E. Initially managed with resuscitation, steroids, and plasmapheresis, the patient developed necrotizing pancreatitis that overtime became walled-off. Despite attempts at percutaneous drainage, the patient ultimately had a video-assisted retroperitoneal debridement. As there are no descriptions in the literature of walled-off pancreatic necrosis stemming from HELLP syndrome, this case provides a new avenue from which to study the pathophysiology and provides a management strategy for this problem.

KW - HELLP syndrome

KW - necrosis

KW - pancreas

KW - VARD

KW - WOPN

UR - http://www.scopus.com/inward/record.url?scp=84862565071&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84862565071&partnerID=8YFLogxK

U2 - 10.1097/SLE.0b013e318248f92b

DO - 10.1097/SLE.0b013e318248f92b

M3 - Article

C2 - 22678339

AN - SCOPUS:84862565071

VL - 22

JO - Surgical Laparoscopy and Endoscopy

JF - Surgical Laparoscopy and Endoscopy

SN - 1530-4515

IS - 3

ER -