The first time Weinstein in 1982 described patients with the syndrome of hemolysis,
elevated liver enzymes, and low platelet count (HELLP) in pregnant preeclamptic and
eclamptic patients. This syndrome is a severe form of preeclampsia or eclampsia. Usually
HELLP syndrome occurs at the third trimester and only 15% occur before the 27th week
of pregnancy and rarely before the 20th week of pregnancy. We want to present a 30-
year old parity 2, gravidity 1 pregnant patient who was pregnant for 20 weeks with
preeclampsia and HELLP syndrome. Two hours before arriving to the emergency unit,
she felt chest discomfort and went to the nearest clinic to visit a physician. She was then
referred to the hospital because of high blood pressure (BP). When she arrived to the
emergency unit, she had right upper quadrant and epigastric pain, headache, vomiting,
dyspnea, and high BP (185/100). Finally the diagnosis of HELLP syndrome was made.
As maternal and fetus mortality and morbidity of HELLP syndrome is high, immediate
recognition and treatment is vital to save the lives of both the mother and the fetus.
Keywords: HELLP Syndrome, Pre-eclampsia, Eclampsi
