[Anuria after delivery].
During the last decade certain peripartal complications decreased dramatically in industrialized countries. Here, a case of a 27 years old Caucasian primagravida will be presented. In the presence of symptoms of a severe preeclamptic condition with signs of an impending HELP syndrome the patient underwent Caesarean section. Within hours following surgery she developed complete anuria. Nuclear magnetic resonance imaging and histological evaluation of a renal biopsy led to the diagnosis of an acute, bilateral renal cortical necrosis. Besides the preeclamptic condition no further underlying disease was present, in particular no hemolytic-uremic syndrome. Following progress made in modern perinatal management renal cortical necrosis almost disappeared. Yet, in the presence of this disease a significant maternal morbidity and mortality still remains.
Mohaupt
M G
MG
Departement Innere Medizin, Universitätsspital, Bern.
D000328:Adult; D001002:Anuria / Q000209:etiology* / Q000473:pathology; D001706:Biopsy; D002585:Cesarean Section; D003937:Diagnosis, Differential; D005260:Female; D017359:HELLP Syndrome / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007672:Kidney Cortex / Q000473:pathology; D007673:Kidney Cortex Necrosis / Q000175:diagnosis* / Q000473:pathology; D011247:Pregnancy; D011644:Puerperal Disorders / Q000175:diagnosis* / Q000473:pathology