title: Anuric acute renal failure after elective abortion.
abstract: Elective abortion complicated by bilateral renal cortical necrosis (BRCN) is not common in a developed country. We reported a patient having anuric acute renal failure after elective abortion. Initial laboratory studies implied thrombotic thrombocytopenic purpura/Hemolytic uremic syndrome, but plasma exchange was not prescribed since magnetic resonance imaging study suggested BRCN soon after. The patient was treated as septic abortion and reached partial renal recovery after antibiotic treatment and short-term hemodialysis. Early diagnosis of BRCN is essential not only for prognosis prediction but also for treatment decision. We suggest that any anuric patient in suspicion of BRCN should receive MRI study as soon as possible.
authors.affiliation: Division of Nephrology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Taiwan.
authors.forename: Lee-Moay
authors.initials: LM
authors.lastname: Lim
authors.forename: Kun-Bow
authors.initials: KB
authors.lastname: Tsai
authors.forename: Daw-Yang
authors.initials: DY
authors.lastname: Hwang
authors.forename: Mei-Chuan
authors.initials: MC
authors.lastname: Kuo
authors.forename: Yi-Wen
authors.initials: YW
authors.lastname: Chiu
authors.forename: Hung-Chun
authors.initials: HC
authors.lastname: Chen
mesh_terms: D000028:Abortion, Induced / Q000009:adverse effects*; D058186:Acute Kidney Injury / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D000328:Adult; D005260:Female; D006801:Humans; D007673:Kidney Cortex Necrosis / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D011247:Pregnancy; D006435:Renal Dialysis / Q000379:methods