This is a review of 15 cases of severe pre-eclampsia with HELLP syndrome. The patients presented with severe arterial hypertension, the main symptoms were epigastric and right hypochondrial pain that were present in 66.6% of the patients, nausea and vomit in 53.8% and edema of the lower limbs in 60%. The most frequent age was in the third decade of life, and in the third trimester of pregnancy for all the cases, the main complication was acute renal insufficiency in 80% on the patients. Three patients died (20%), the causes were ARDS, brain hemorrhage and hypovolemic shock.
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