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dc.contributor.authorKanchana Sujirachatoen_US
dc.contributor.authorSmith Srisonten_US
dc.contributor.authorVichan Peonimen_US
dc.contributor.otherMahidol Universityen_US
dc.identifier.citationJournal of the Medical Association of Thailand. Vol.95, No.4 (2012), 614-617en_US
dc.description.abstractThis is the first reported medico-legal autopsy case in Thailand. It is a case of a 26-year-old Thai female with primigravida and 34 weeks gestational age that had sudden unexpected death. The laboratory investigations before death revealed evidence of hemolysis, which is decreased hematocrit, elevated lactate dehydrogenase (865 U/L), and low platelet count (8.7 x 10 9 cells/L). These findings were compatible with HELLP (Hemolysis, Elevated Liver enzymes, and Low Platelets) syndrome. The autopsy findings showed two ruptures of the right lobe of the liver, hepatic subcapsular hematoma, rupture of Glisson's capsule, and massive hemoperitoneum with abruptio placentae. Histological features of liver and kidneys revealed specific characteristics that can assist the forensic pathologist to diagnose HELLP syndrome when laboratory examinations are not available.en_US
dc.rightsMahidol Universityen_US
dc.titleHELLP syndrome in pregnancy as a cause of sudden unexpected death and spontaneous hepatic rupture: A medico-legal autopsy case reporten_US
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