title: Acute kidney injury due to menstruation-related disseminated intravascular coagulation in an adenomyosis patient: a case report.
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.
authors.affiliation: Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea.
authors.forename: Jungmin
authors.initials: J
authors.lastname: Son
authors.forename: Dong Won
authors.initials: DW
authors.lastname: Lee
authors.forename: Eun Young
authors.initials: EY
authors.lastname: Seong
authors.forename: Sang Heon
authors.initials: SH
authors.lastname: Song
authors.forename: Soo Bong
authors.initials: SB
authors.lastname: Lee
authors.forename: Jin
authors.initials: J
authors.lastname: Kang
authors.forename: Byeong Yun
authors.initials: BY
authors.lastname: Yang
authors.forename: Su Jin
authors.initials: SJ
authors.lastname: Lee
authors.forename: Jong-Ryeol
authors.initials: JR
authors.lastname: Choi
authors.forename: Kyu-Sup
authors.initials: KS
authors.lastname: Lee
authors.forename: Ihm Soo
authors.initials: IS
authors.lastname: Kwak
mesh_terms: 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
chemical_list: D006062:Gonadotropins; D003404:Creatinine
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