Fig. 1
From: Severe HELLP syndrome masquerading as thrombocytopenic thrombotic purpura: a case report
Imaging and temporal trends of lactate dehydrogenase (LDH) levels and platelets following delivery. Computerized Tomography scan (a) with axial reconstruction shows lack of perfusion of the posterior sector of the liver (black arrow). Magnetic Resonance Imaging with T2 sequence (b) and T1 sequence with gadolinium injection (c) show high signal T2 of the posterior sector of the liver related to necrosis (white arrows) and lack of enhancement after gadolinium injection (white arrows) related to the infarction of the hepatic parenchyma. Therapeutic plasma exchange (TPE, red arrows) was initiated at day 5 following delivery and renal replacement therapy (RRT, green arrows) at day 1. Serum lactate dehydrogenase (LDH, black line), platelet count (red line) and serum creatinine (green line, mg/L) are given on the ordinate. Day 1 is the day of delivery. The dotted line is the standard for platelets