Management of a rare case of acute renal failure in a pregnant woman during the last trimester of pregnancy: A case report
1 Department of Physics, Aristotle University of Thessaloniki, Thessaloniki, Greece.
2 Department of Health Sciences, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.
3 Department of Obstetrics and Gynecology, General Hospital of Trikala, Trikala, Greece.
Case Report
Open Access Research Journal of Life Sciences, 2023, 05(01), 036–040.
Article DOI: 10.53022/oarjls.2023.5.1.0013
Publication history:
Received on 15 December 2022; revised on 26 January 2023; accepted on 28 January 2023
Abstract:
This case report is about the successful treatment of a patient with acute kidney injury during pregnancy. Primigravida at 37 weeks gestational age presented at the emergency department of our hospital with tonic – clonic muscle spasms. After performing immediate clinical examination and the appropriate lab investigation we reached to the diagnosis of HELLP syndrome and performed an emergency cesarean section, due to eclampsia during HELLP syndrome. Right after surgery, kidney dysfunction and rising creatinine levels led nephrologists to start dialysis sessions, because of the acute kidney injury. Postoperative period was without complications. On the sixth postoperative day the patient’s clinical status was significantly improved, thus she got discharged from the clinic. It was considered necessary by the nephrologists to continue the dialysis sessions until full rehabilitation of the renal function is succeeded. In this paper, apart from the presentation of the case, a literature review is attempted of the acute kidney injury during pregnancy, in relation to current available therapeutic options, which performed in – time contributes to the best possible prognostic outcome.
Keywords:
Acute kidney injury; Pregnancy; Management; Prognosis
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Copyright © 2023 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0