What Are the Implications of Abdominal Pain in Preeclampsia and HELLP Syndrome?

  • Joelle Borhart
  • Caroline Massarelli


Preeclampsia and HELLP syndrome are serious pregnancy-associated conditions with high maternal and neonatal morbidity and mortality. In a pregnant patient greater than 20 weeks gestational age, epigastric or right upper quadrant abdominal pain can be a symptom of preeclampsia or HELLP and must be investigated fully. Temporizing treatment centers on controlling blood pressure and reducing the risk of eclampsia. Since the only definitive treatment of these conditions is delivery, early obstetric consultation is critical.


Preeclampsia HELLP Abdominal pain Pregnancy Hypertension 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Joelle Borhart
    • 1
  • Caroline Massarelli
    • 2
  1. 1.Department of Emergency MedicineMedStar Washington Hospital Center & MedStar Georgetown University HospitalWashington, DCUSA
  2. 2.Georgetown University School of MedicineWashington, DCUSA

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