Acute Kidney Injury Associated with Disseminated Intravascular Coagulation that Developed after a Hysterectomy in a Patient with Probable Catastrophic Antiphospholipid Syndrome
- Author:
Jo Eun KIM
1
;
Harry YOON
;
Jeong Guil LEE
;
Dae Kyu SHIN
;
Ji Soo PARK
;
Seong Eun SEO
;
Hyung Jong KIM
Author Information
1. Department of Internal Medicine, Bundang CHA Medical Center, CHA University, Seongnam, Korea. khj04@cha.ac.kr
- Publication Type:Case Report
- Keywords:
Acute Kidney Injury;
Disseminated intravascular coagulation;
Hysterectomy
- MeSH:
Acute Kidney Injury;
Adenomyosis;
Adult;
Antiphospholipid Syndrome;
Blood Coagulation Factors;
Dacarbazine;
Disseminated Intravascular Coagulation;
Female;
Humans;
Hysterectomy;
Nephritis;
Thrombosis
- From:Korean Journal of Medicine
2012;82(6):739-743
- CountryRepublic of Korea
- Language:Korean
-
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.
