Acute Kidney Injury Arising from Severe Hyperemesis Gravidarum: Case Report with a Review of Literatures.
- Author:
Sang Min SHIM
1
;
Ae Li RYU
;
Yun Sook KIM
Author Information
1. Department of Obstetrics and Gynecology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea. drsook@schmc.ac.kr
- Publication Type:Case Report
- Keywords:
Hyperemesis gravidarum;
Acute kidney injury;
Renal dialysis
- MeSH:
Acute Kidney Injury*;
Alkalosis;
Blood Urea Nitrogen;
Creatinine;
Dehydration;
Emergency Service, Hospital;
Female;
Humans;
Hydrochloric Acid;
Hyperemesis Gravidarum*;
Hypokalemia;
Ketosis;
Kidney;
Pregnancy;
Renal Dialysis;
Young Adult
- From:Soonchunhyang Medical Science
2015;21(1):28-30
- CountryRepublic of Korea
- Language:English
-
Abstract:
Severe hyperemesis gravidarum is a rare but potentially life-threatening it left untreated. Its serious complications are dehydration, ketosis, alkalosis from loss of hydrochloric acid, hypokalemia, and compromised pre-renal acute kidney injury. We experienced a very rare case of a 20-year-old woman who presented to the emergency department with severe hyperemesis gravidarum associated with a loss of kidney function at 25 weeks' gestation. Her initial serum creatinine and blood urea nitrogen were 5.0 and 45.9 mg/dL, respectively. The patient underwent hemodialysis for three days and achieved a subsequent recovery of renal function. In conclusion, our case indicates that clinicians should be aware of the possibility of acute kidney injury associated with severe hyperemesis gravidarum although rare.
