{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:26:14Z","timestamp":1787009174848,"version":"build-2736575974"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T00:00:00Z","timestamp":1745798400000},"content-version":"vor","delay-in-days":30,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,3,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The rare condition known as HELLP syndrome is typified by hemolysis, low platelet counts, and high liver enzymes. We report a case of a 25-year-old primigravida who presented at a previable gestational age with nonspecific symptoms. She was diagnosed with hepatic infarction, a rare but severe complication of HELLP syndrome, and was managed promptly to prevent maternal morbidity and mortality.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf255","type":"journal-article","created":{"date-parts":[[2025,4,10]],"date-time":"2025-04-10T07:34:10Z","timestamp":1744270450000},"source":"Crossref","is-referenced-by-count":1,"title":["A typical presentation of previable HELLP syndrome: a case report"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-1604-4158","authenticated-orcid":false,"given":"Derar I I","family":"Ismerat","sequence":"first","affiliation":[{"name":"Gynecology and Obstetrics Specialist, AL Ahli Hospital , Hebron, West Bank P720 ,","place":["Palestine"]},{"name":"Gynecology and Obstetrics Assistant Professor, Hebron Medical University , Hebron, West Bank P720 ,","place":["Palestine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4852-3121","authenticated-orcid":false,"given":"Barah K S","family":"Alsalameh","sequence":"additional","affiliation":[{"name":"Gynecology and Obstetrics Specialist, AL Ahli Hospital , Hebron, West Bank P720 ,","place":["Palestine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3972-4674","authenticated-orcid":false,"given":"Raneen T M","family":"Farash","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Hebron Medical University , Hebron, West Bank P720 ,","place":["Palestine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-4492-9257","authenticated-orcid":false,"given":"Bayan","family":"Qnaibi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Hebron Medical University , Hebron, West Bank P720 ,","place":["Palestine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5705-9466","authenticated-orcid":false,"given":"Amal","family":"Mahfoud","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Halab Road, Latakia University, Lattakia ,","place":["Syria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1068-2984","authenticated-orcid":false,"given":"Afnan W M","family":"Jobran","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Al Quds University , Jerusalem, West Bank P144 ,","place":["Palestine"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,4,28]]},"reference":[{"key":"2025042806541211100_ref1","volume-title":"StatPearls [Internet]","author":"Khalid","year":"2023"},{"key":"2025042806541211100_ref2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.11604\/PAMJ.2020.36.78.23302","article-title":"A case of massive hepatic infarction in severe preeclampsia as part of the HELLP syndrome","volume":"36","author":"El Allani","year":"2020","journal-title":"Pan Afr Med J"},{"key":"2025042806541211100_ref3","doi-asserted-by":"publisher","DOI":"10.3390\/medicina58020326","article-title":"HELLP syndrome\u2014holistic insight into pathophysiology","volume":"58","author":"Petca","year":"2022","journal-title":"Med"},{"key":"2025042806541211100_ref4","volume-title":"Preeclampsia","author":"Karrar","year":"2024"},{"key":"2025042806541211100_ref5","doi-asserted-by":"publisher","first-page":"195","DOI":"10.1097\/CLD.0000000000000088","article-title":"Hypertensive complications of pregnancy: hepatic consequences of preeclampsia through HELLP syndrome","volume":"22","author":"Mei","year":"2023","journal-title":"Clin Liver Dis"},{"key":"2025042806541211100_ref6","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1002\/cld.409","article-title":"Preeclampsia-induced liver dysfunction, HELLP syndrome, and acute fatty liver of pregnancy","volume":"4","author":"Hammoud","year":"2014","journal-title":"Clin Liver Dis"},{"key":"2025042806541211100_ref7","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1080\/14767058.2019.1572737","article-title":"Preeclampsia and HELLP syndrome, the role of the liver","volume":"34","author":"Alese","year":"2021","journal-title":"J Matern Neonatal Med"},{"key":"2025042806541211100_ref8","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/1471-2393-9-8","article-title":"The HELLP syndrome: clinical issues and management. 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