Acute kidney injury due to menstruation-related disseminated intravascular coagulation in an adenomyosis patient: a case report.
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.
Son
Jungmin
J
Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea.
Lee
Dong Won
DW
Seong
Eun Young
EY
Song
Sang Heon
SH
Lee
Soo Bong
SB
Kang
Jin
J
Yang
Byeong Yun
BY
Lee
Su Jin
SJ
Choi
Jong-Ryeol
JR
Lee
Kyu-Sup
KS
Kwak
Ihm Soo
IS
D058186:Acute Kidney Injury / Q000175:diagnosis* / Q000209:etiology; D000328:Adult; D003404:Creatinine / Q000097:blood; D004211:Disseminated Intravascular Coagulation / Q000139:chemically induced* / Q000150:complications; D004715:Endometriosis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D005307:Fertilization in Vitro; D006062:Gonadotropins / Q000009:adverse effects*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008598:Menstruation / Q000502:physiology*; D014599:Uterus / Q000473:pathology / Q000601:surgery
D006062:Gonadotropins; D003404:Creatinine
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