{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T08:08:28Z","timestamp":1753862908769,"version":"3.41.2"},"reference-count":11,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,6,14]],"date-time":"2023-06-14T00:00:00Z","timestamp":1686700800000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2023,6]]},"abstract":"Key Clinical Message<\/jats:title>HELLP syndrome is a complicated disorder associated with many unknown complications, which ischemic colitis might be one of. Timely diagnosis and prompt management with multidisciplinary approach is the key for a favorable outcome.<\/jats:p><\/jats:sec>Abstract<\/jats:title>HELLP syndrome is a triad of hemolysis (H), elevated liver enzymes (EL), and low platelet count (LP) which is considered a rare but serious pregnancy complication. HELLP syndrome is mainly associated with pre\u2010eclampsia, but can also occur individually. It may cause maternal and fetal mortality and some life\u2010threatening morbidity. The best management considered for HELLP syndrome is immediate delivery in most cases. We report a 32\u2010week pregnant woman with pre\u2010eclampsia who developed HELLP syndrome shortly after admission which led to a preterm cesarean section. Rectal bleeding and diarrhea started the day after delivery, and all the workups and imaging suggested ischemic colitis. She received intensive care and supportive management. The patient recovered and was discharged uneventfully. HELLP syndrome may be associated with many unknown complications, and ischemic colitis might be one of them. Timely diagnosis and prompt management with a multidisciplinary approach is the key to a favorable outcome.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccr3.7557","type":"journal-article","created":{"date-parts":[[2023,6,15]],"date-time":"2023-06-15T04:40:36Z","timestamp":1686804036000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["HELLP<\/scp> syndrome complicated by ischemic colitis: A case report"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6795-7892","authenticated-orcid":false,"given":"Paria","family":"Boustani","sequence":"first","affiliation":[{"name":"Student Research Committee Tehran University of Medical Sciences Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laleh","family":"Eslamian","sequence":"additional","affiliation":[{"name":"Department of Obstetrics & Gynecology, Shariati Hospital Tehran University of Medical Sciences Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maryam","family":"Nurzadeh","sequence":"additional","affiliation":[{"name":"Department of Obstetrics & Gynecology, Shariati Hospital Tehran University of Medical Sciences Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vajiheh","family":"Marsosi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics & Gynecology, Shariati Hospital Tehran University of Medical Sciences Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2306-7112","authenticated-orcid":false,"given":"Marjan","family":"Ghaemi","sequence":"additional","affiliation":[{"name":"Vali\u2010E\u2010Asr Reproductive Health Research Center, Family Health Research Institute Tehran University of Medical Sciences Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,6,14]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cnc.2022.04.009"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cca.2015.10.024"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-9-8"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina58020326"},{"volume-title":"StatPearls [Internet]","year":"2022","author":"Khalid F","key":"e_1_2_12_6_1"},{"issue":"3","key":"e_1_2_12_7_1","first-page":"829","article-title":"HELLP syndrome: recognition and perinatal management","volume":"60","author":"Padden MO","year":"1999","journal-title":"Am Fam Physician"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/flgastro-2019-101204"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.14.7302"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.42.1228"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mvr.2021.104226"},{"key":"e_1_2_12_12_1","unstructured":"Ischemic Colitis article by Cleveland Clinic. [Available from:https:\/\/my.clevelandclinic.org\/health\/diseases\/24513\u2010ischemic\u2010colitis]"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.7557","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,20]],"date-time":"2023-08-20T16:03:44Z","timestamp":1692547424000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.7557"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6]]},"references-count":11,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["10.1002\/ccr3.7557"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.7557","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"type":"print","value":"2050-0904"},{"type":"electronic","value":"2050-0904"}],"subject":[],"published":{"date-parts":[[2023,6]]},"assertion":[{"value":"2023-03-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-26","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-14","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e7557"}}