A 44-year-old pregnant female with a gestation of 29 weeks suddenly developed abdominal pain, nausea, vomiting, and laboratory study showed anemia, elevated liver enzymes, and lower platelets. HELLP syndrome was diagnosed and urgent delivery was needed. In order to correct the plasma volume and platelet deficiency, 6 units of both fresh frozen plasma and platelets, were given before operation. However, acute pulmonary edema was noted in the antepartum period. After vigorous treatment, she gave birth to a male infant. The postoperative course was smooth and she and her baby were discharged eleven days later. This case reminded us once again of the importance and necessity of invasive monitoring in fluid management of these patients.

Original languageEnglish
Pages (from-to)41-44
Number of pages4
JournalActa Anaesthesiologica Sinica
Issue number1
Publication statusPublished - 1999


  • Anesthesia, obstetrical
  • HELLP syndrome
  • Intraoperative complications: Pulmonary edema

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine


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