Fig. 2.

A 37-year-old female patient with 34 weeks of pregnancy presented with malaise, severe right upper quadrant pain, lethargy, significantly elevated LFTs, thrombocytopenia, and hemolytic anemia. The clinical and laboratory findings highly suggested HELLP syndrome, and an emergency cesarean section (C/S) was performed. The patient's lethargy and abdominal pain progressed, and emergent abdominal and cranial CT scans were performed 2 days after the delivery. Axial plane postcontrast abdominal CT image showed extensive liver infarction as hypodense areas with geographic distribution (asterisks). Her head CT was within normal limits (not shown). The patient responded well to ICU care and was discharged without apparent clinical sequela 1 month after the CT scan