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http://dx.doi.org/10.3904/kjm.2012.82.6.739

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

Kim, Jo-Eun (Department of Internal Medicine, Bundang CHA Medical Center, CHA University)
Yoon, Har-Ry (Department of Internal Medicine, Bundang CHA Medical Center, CHA University)
Lee, Jeong-Guil (Department of Internal Medicine, Bundang CHA Medical Center, CHA University)
Shin, Dae-Kyu (Department of Internal Medicine, Bundang CHA Medical Center, CHA University)
Park, Ji-Soo (Department of Internal Medicine, Bundang CHA Medical Center, CHA University)
Seo, Seong-Eun (Department of Internal Medicine, Bundang CHA Medical Center, CHA University)
Kim, Hyung-Jong (Department of Internal Medicine, Bundang CHA Medical Center, CHA University)
Publication Information
The Korean Journal of Medicine / v.82, no.6, 2012 , pp. 739-743 More about this Journal
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.
Keywords
Acute Kidney Injury; Disseminated intravascular coagulation; Hysterectomy;
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1 Asherson RA, Espinosa G, Cervera R, et al. Disseminated intravascular coagulation in catastrophic antiphospholipid syndrome: clinical and haematological characteristics of 23 patients. Ann Rheum Dis 2005;64:943-946.   DOI   ScienceOn
2 Tsimpanakos I, Connolly J, Alatzoglou KS, Rowan C, Magos A. Two cases of myomectomy complicated by intravascular hemolysis and renal failure: disseminated intravascular coagulation or hemolytic uremic syndrome? Fertil Steril 2010;93:2075.
3 Holdsworth SR, Tipping PG. Macrophage-induced glomerular fibrin deposition in experimental glomerulonephritis in the rabbit. J Clin Invest 1985;76:1367-1374.   DOI   ScienceOn
4 Wiggins RC, Njoku N, Sedor JR. Tissue factor production by cultured rat mesangial cells: stimulation by TNF alpha and lipopolysaccharide. Kidney Int 1990;37:1281-1285.   DOI   ScienceOn
5 Aihara H, Kuroda Y, Sugawara Y, Tsuruya Y, Yamada S, Tabei K. Tubulointerstitial nephritis in the case of acute renal failure from sepsis after a cat bite. Nihon Jinzo Gakkai Shi 2001;43:362-366.
6 Asherson RA. Multiorgan failure and antiphospholipid antibodies: the catastrophic antiphospholipid (Asheron's) syndrome. Immunobiology 2005;210:727-733.   DOI   ScienceOn
7 Erkan D, Espinosa G, Cervera R. Catastrophic antiphospholipid syndrome: updated diagnostic algorithms. Autoimmun Rev 2010;10:74-79.   DOI   ScienceOn
8 Miret C, Cervera R, Reverter JC, et al. Antiphospholipid syndrome without antiphospholipid antibodies at the time of the thrombotic event: transient 'seronegative' antiphospholipid syndrome? Clin Exp Rheumatol 1997;15:541-544.
9 Drenkard C, Sánchez-Guerrero J, Alarcón-Segovia D. Fall in antiphospholipid antibody at time of thromboocclusive episodes in systemic lupus erythematosus. J Rheumatol 1989;16:614-617.
10 Sohn KM, Yoon JW, Park IL, et al. Catastrophic antiphospholipid syndrome presenting with disseminated intravascular coagulation, cerebral infarction, and acute respiratory distress syndrome. Korean J Med 2009;77:157-161.