SONOGRAPHIC EXAMINATION OF THE LIVER IN H ELLP-SYNDROME

A 33-year-old multiparous woman in the 34th gestational week presented with severe upper abdominal pain, nausea and vomiting. Clinical exami nation revealed severe epigastric tenderness. Abdominal ultrasound exa mination showed geographical areas with increased echogenicity in the right lobe of the liver, Through haematological examination, we found severe thrombocytopenia and fibrinolysis, The diagnosis of HELLP syndr ome was suspected and a caesarean section was performed, We suggest th at obstetrical patients with upper abdominal pain and abnormal liver s onography should immediately be haematologically investigated to exclu de the life-threatening condition of the HELLP syndrome.