Hellp syndrome and subcapsular liver haematoma.

HELLP syndrome is a disease of variable presentation with high mortality and morbidity. Haemolysis in HELLP syndrome is microangiopathic. Obstruction of hepatic blood flow by fibrin deposits in sinusoids results in elevated liver enzymes. It also leads to periportal necrosis and, in severe cases, intrahepatic haemorrhage, subcapsular haematoma formation or hepatic rupture. This case report describes a patient presenting with mild hypertension with abruptio-placentae. She developed HELLP syndrome, subcapsular liver haematoma and pleural effusion after delivery.