Dimas Angelos1*, Evangelou Theocharis1, Moulias Errikos1, Politi Anastasia2 and Minas Paschopoulos1
1Department of Obstetrics and Gynecology, Ioannina University Hospital, Greece
2Department of Oncology, Internal Pathology, Ioannina University Hospital, Greece
Inthisreport, the case of a young Greek primigravida who showed the clinical features of hemolysis, elevated liver enzymes and HELLP syndrome after an elective caesarian section is discussed. Further diagnostic tests confirmed first manifestation of undiagnosed Wilson’s disease. Are views of the literature revealed only one more similar case of Wilson’s disease first presenting during pregnancy mimicking HELLP syndrome, rendering the current report very important. Although Wilson’s disease is recognized early in adulthood, mainly due its complications, perhaps it should be included in an obstetrician’s differential diagnosis when investigating a woman antenatally or during the puerperium who presents with symptoms of pre-eclampsia or HELLP syndrome. The diagnosis of such a disease during pregnancy demands a particularly high index of suspicion on behalf of the clinical doctor and demands the valuable collaboration of an experienced hematologist.
HELLP syndrome; Pregnancy; Wilson’s disease; Acute liver failure; Hemolytic anemia; ATP7B
Angelos D, Theocharis E, Errikos M, Anastasia P, Paschopoulos M. Undiagnosed Wilson’s Disease, Mimicking HELLP Syndrome during Puerperium. J Clin Obstet Gynecol Infertil. 2019; 3(1): 1039.