Korean J Med.  2012 Jun;82(6):739-743.

Acute Kidney Injury Associated with Disseminated Intravascular Coagulation that Developed after a Hysterectomy in a Patient with Probable Catastrophic Antiphospholipid Syndrome

Affiliations
  • 1Department of Internal Medicine, Bundang CHA Medical Center, CHA University, Seongnam, Korea. khj04@cha.ac.kr

Abstract

Acute kidney injury associated with disseminated intravascular coagulation (DIC) and a coagulation factor defect may develop with infection, malignancy, severe trauma, or obstetric complications. However, a gynecological etiology, such as hysterectomy, in a patient with adenomyosis has rarely been reported. We describe a case of a 42-year-old women who presented with DIC and acute kidney injury after a total hysterectomy. We thought that the cause for the acute kidney injury might be small vascular thrombosis and acute tubulointerstital nephritis due to probable catastrophic antiphospholipid syndrome with DIC. The patient was successfully treated with steroid therapy.

Keyword

Acute Kidney Injury; Disseminated intravascular coagulation; Hysterectomy

MeSH Terms

Acute Kidney Injury
Adenomyosis
Adult
Antiphospholipid Syndrome
Blood Coagulation Factors
Dacarbazine
Disseminated Intravascular Coagulation
Female
Humans
Hysterectomy
Nephritis
Thrombosis
Blood Coagulation Factors
Dacarbazine
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