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)
Pages (from-to)e152-e154
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume22
Issue number3
DOIs
StatePublished - Jun 1 2012
Externally publishedYes

Keywords

  • HELLP syndrome
  • VARD
  • WOPN
  • necrosis
  • pancreas

ASJC Scopus subject areas

  • Surgery

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