Early Onset Hellp Syndrome with Systemic Lupus Erytematosus and Acute Cholecystitis Attack at 17th Week of Gestation

Hellp syndrome is an atypic, severe and life threatening form of preeclapmsia, which is usually associated with hemolysis, elevated liver enzymes and low platelet count. Also it is very important because it causes significantly maternal and perinatal mortality. It is known that hellp syndrome almost always occurs after 20 weeks of gestation. But in the presence of some accompanying diseases, hellp syndrome or severe preeclampsia can occur at earlier gestational weeks. This may also lead to diagnostic difficulties.In this case, we described the diagnosis and recovery period of a systemic lupus erytematosus (SLE) patient who developed hellp syndrome at 17 weeks of gestation. Our experience takes attention that detection of hellp syndome accompanying diseases like systemic lupus erytematosus or acute cholecystitis can be difficult
and it can occur distinctly at earlier weeks of gestation. Also the differential diagnosis is very important in such cases, because many diseases can mimic hellp syndrome.