Acute kidney injury due to menstruation-related disseminated intravascular coagulation in an adenomyosis patient: a case report
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Authors
Son, Jungmin
Lee, Dong Won
Seong, Eun Young
Song, Sang Heon
Lee, Soo Bong
Kang, Jin
Yang, Byeong Yun
Lee, Su Jin
Choi, Jong-Ryeol
Lee, Kyu-Sup
Issue Date
2010-09
Type
Article
Language
en_US
Keywords
Disseminated Intravascular Coagulation , Gonadotropins , Kidney Failure , Menstruation , Multiple Organ Failure
Alternative Title
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.
Description
Citation
Son, J., Lee, D. W., Seong, E. Y., Song, S. H., Lee, S. B., Kang, J., Yang, B. Y., Lee, S. J., Choi, J. R., Lee, K. S., & Kwak, I. S. (2010). Acute kidney injury due to menstruation-related disseminated intravascular coagulation in an adenomyosis patient: a case report. Journal of Korean medical science, 25(9), 1372–1374. https://doi.org/10.3346/jkms.2010.25.9.1372
Publisher
Journal of Korean Medical Science