Acute Kidney Injury due to Menstruation-related Disseminated Intravascular Coagulation in an Adenomyosis Patient: A Case Report.
10.3346/jkms.2010.25.9.1372
- Author:
Jungmin SON
1
;
Dong Won LEE
;
Eun Young SEONG
;
Sang Heon SONG
;
Soo Bong LEE
;
Jin KANG
;
Byeong Yun YANG
;
Su Jin LEE
;
Jong Ryeol CHOI
;
Kyu Sup LEE
;
Ihm Soo KWAK
Author Information
1. Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea. dongwonlee@pusan.ac.kr
- Publication Type:Case Report
- Keywords:
Kidney Failure;
Multiple Organ Failure;
Disseminated Intravascular Coagulation;
Menstruation;
Gonadotropins
- MeSH:
Acute Kidney Injury/*diagnosis/etiology;
Adult;
Creatinine/blood;
Disseminated Intravascular Coagulation/*chemically induced/complications;
Endometriosis/*complications/diagnosis/surgery;
Female;
Fertilization in Vitro;
Gonadotropins/*adverse effects;
Humans;
Magnetic Resonance Imaging;
Menstruation/*physiology;
Uterus/pathology/surgery
- From:Journal of Korean Medical Science
2010;25(9):1372-1374
- CountryRepublic of Korea
- Language:English
-
Abstract:
The authors report a case of acute kidney injury (AKI) resulting from menstruation-related disseminated intravascular coagulation (DIC) in an adenomyosis patient. A 40-yr-old woman who had received gonadotropin for ovulation induction therapy presented with anuria and an elevated serum creatinine level. Her medical history showed primary infertility with diffuse adenomyosis. On admission, her pregnancy test was negative and her menstrual cycle had started 1 day previously. Laboratory data were consistent with DIC, and it was believed to be related to myometrial injury resulting from heavy intramyometrial menstrual flow. Gonadotropin is considered to play an important role in the development of fulminant DIC. This rare case suggests that physicians should be aware that gonadotropin may provoke fulminant DIC in women with adenomyosis.
