Acute Kidney Injury due to Menstruation-related Disseminated Intravascular Coagulation in an Adenomyosis Patient: A Case Report
Journal of Korean Medical Science
; : 1372-1374, 2010.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-187902
Responsible library:
WPRO
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.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Uterus
/
Magnetic Resonance Imaging
/
Fertilization in Vitro
/
Creatinine
/
Disseminated Intravascular Coagulation
/
Endometriosis
/
Acute Kidney Injury
/
Gonadotropins
/
Menstruation
Limits:
Adult
/
Female
/
Humans
Language:
English
Journal:
Journal of Korean Medical Science
Year:
2010
Document type:
Article