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Anuric Acute Renal Failure after Elective Abortion
- Source :
- Internal Medicine. 50:1715-1718
- Publication Year :
- 2011
- Publisher :
- Japanese Society of Internal Medicine, 2011.
-
Abstract
- Elective abortion complicated by bilateral renal cortical necrosis (BRCN) is not common in a developed country. We reported a patient having anuric acute renal failure after elective abortion. Initial laboratory studies implied thrombotic thrombocytopenic purpura/Hemolytic uremic syndrome, but plasma exchange was not prescribed since magnetic resonance imaging study suggested BRCN soon after. The patient was treated as septic abortion and reached partial renal recovery after antibiotic treatment and short-term hemodialysis. Early diagnosis of BRCN is essential not only for prognosis prediction but also for treatment decision. We suggest that any anuric patient in suspicion of BRCN should receive MRI study as soon as possible.
- Subjects :
- Adult
medicine.medical_specialty
medicine.medical_treatment
Thrombotic thrombocytopenic purpura
Abortion
Renal cortical necrosis
Pregnancy
Renal Dialysis
Internal Medicine
medicine
Humans
Septic abortion
medicine.diagnostic_test
business.industry
Abortion, Induced
Magnetic resonance imaging
General Medicine
Acute Kidney Injury
Elective abortion
medicine.disease
Surgery
Anesthesia
Female
Kidney Cortex Necrosis
Hemodialysis
business
Subjects
Details
- ISSN :
- 13497235 and 09182918
- Volume :
- 50
- Database :
- OpenAIRE
- Journal :
- Internal Medicine
- Accession number :
- edsair.doi.dedup.....866fd85fe517c925efaae1f2468aa290
- Full Text :
- https://doi.org/10.2169/internalmedicine.50.5315