Early Onset Hellp Syndrome with Systemic Lupus Erytematosus and Acute Cholecystitis Attack at 17th Week of Gestation, 17. gebelik haftasında akut kolesistit atağı ve sistemik lupus eritematozus ile birlikte görülen erken başlangıçlı hellp sendromu

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