Successful conservative management with uterine preservation in an adolescent with Couvelaire uterus and incomplete HELLP syndrome: a case report

This case illustrates the diagnostic challenges of Couvelaire uterus in hypertensive pregnancies, particularly among adolescents with limited prenatal care, where placental abruption may occur silently and HELLP syndrome may present incompletely. The successful control of massive hemorrhage and preservation of the uterus using conservative techniques underscore the feasibility of fertility-sparing management even in resource-limited settings. Strengthening access to prenatal and emergency obstetric care remains essential to prevent adverse outcomes in vulnerable populations.