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August 27, 2026Taiwanese Journal of Obstetrics and GynecologyOpen Access

From Crisis to Recovery: Managing Severe Preeclampsia with HELLP Syndrome and Postpartum Hemorrhage

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Key result

Blood transfusion and hematoma evacuation successfully resolve postpartum hemorrhage in severe preeclampsia with HELLP syndrome.

  • n=1

Why the study?

Life-threatening complications of severe preeclampsia can occur even after delivery.

Population

A 36-year-old woman with severe preeclampsia

Design

Case report

Authors

YHYi-Hsuan HsiehZuoying Armed Forces General HospitalCLChi‐Kang LinNational Defense Medical Center

Discussion

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Implication

May guide management of rare HELLP complications; hypothesis-generating and should not change practice without further evidence.

Key Points

  • To describe the clinical management and recovery of a patient experiencing severe postpartum progression of preeclampsia complicated by HELLP syndrome, disseminated intravascular coagulation, and hemorrhage.
  • Clinical case report of a 36-year-old woman with severe preeclampsia who underwent an emergent cesarean section due to fetal distress (N=1).
  • Postoperative critical care intervention included extensive blood product transfusion and exploratory surgical evacuation of an intraabdominal hematoma.
  • Following delivery, the patient experienced disease exacerbation manifesting as HELLP syndrome, postpartum hemorrhage, disseminated intravascular coagulation, intraabdominal hematoma, and multiple organ injuries.
  • Treatment with targeted blood transfusions and surgical hematoma evacuation led to complete clinical recovery and stable hospital discharge.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
A 36-year-old woman with severe preeclampsia who developed HELLP syndrome and postpartum hemorrhage after an emergent cesarean section.
I
Intervention
Emergent cesarean, blood transfusion, and surgical evacuation of hematoma
O
Outcome
Maternal recovery and discharge

Highlights the importance of close postoperative monitoring for life-threatening complications like HELLP syndrome and postpartum hemorrhage in patients with severe preeclampsia.

Cite This Study

Hsieh et al. (2026) conducted a case report in Severe preeclampsia with HELLP syndrome and postpartum hemorrhage (n=1). Blood transfusion and surgical evacuation of hematoma was evaluated on Recovery from hemorrhage, coagulopathy, intraabdominal hematoma, and multiple organ injuries. A 36-year-old woman with severe preeclampsia complicated by HELLP syndrome and postpartum hemorrhage successfully recovered following blood transfusion and surgical evacuation of an intraabdominal hematoma.

synapsesocial.com/papers/6a8fe9b910c91c1e92621919https://doi.org/10.1016/j.tjog.2025.04.030
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