We describe the use of thrombelastography in HELLP syndrome (Haemolysi
s, Elevated Liver Enzymes, Low Platelets). It differentiated between t
wo possible causes of significant haemorrhage and revealed an accompan
ying underlying fibrinolysis. This allowed specific therapy to be dire
cted at both abnormalities and, we believe, helped prevent this patien
t from undergoing radical surgery to curb blood loss.