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Anuric Acute Renal Failure after Elective Abortion

Authors :
Lee-Moay Lim
Mei-Chuan Kuo
Daw-Yang Hwang
Hung-Chun Chen
Yi-Wen Chiu
Kun-Bow Tsai
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.

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