Successful recovery from an acute kidney injury due to amniotic fluid embolism.
A 33-year-old Japanese woman at 40 weeks gestation visited the maternity hospital after imminent labor had begun. After the delivery, persistent bleeding developed resulting in hemorrhagic shock. Although the hemorrhage was eventually controlled, hepatic and renal dysfunction occurred, leading to acute kidney injury (AKI). The patient's clinical presentation was suggestive of amniotic fluid embolism (AFE). We subsequently initiated continuous renal replacement therapy (RRT) for AKI. The patient's condition improved, she discontinued RRT, and her renal function recovered. We herein report a patient who successfully recovered from AKI caused by AFE.
Department of Nephrology, Tsuchiura Kyodo General Hospital, Japan.
Katsuhito
K
Ihara
Shotaro
S
Naito
Tomokazu
T
Okado
Tatemitu
T
Rai
Yutaro
Y
Mori
Takayuki
T
Toda
Shinichi
S
Uchida
Sei
S
Sasaki
Noriaki
N
Matsui
D058186:Acute Kidney Injury / Q000209:etiology* / Q000628:therapy*; D000328:Adult; D036861:Delivery, Obstetric / Q000009:adverse effects*; D004619:Embolism, Amniotic Fluid / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007564:Japan; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D017582:Renal Replacement Therapy; D012771:Shock, Hemorrhagic / Q000209:etiology* / Q000628:therapy; D016896:Treatment Outcome