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KMID : 0882420120820060739
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Korean Journal of Medicine
2012 Volume.82 No. 6 p.739 ~ p.743
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Acute Kidney Injury Associated with Disseminated Intravascular Coagulation that Developed after a Hysterectomy in a Patient with Probable Catastrophic Antiphospholipid Syndrome
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Kim Jo-Eun
Yoon Ha-Rry
Lee Jeong-Guil
Shin Dae-Kyu
Park Ji-Soo
Suh Seong-Eun
Kim Hyung-Jong
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Abstract
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Acute kidney injury associated with disseminated intravascular coagulation (DIC) and a coagulation factor defect may develop with infection, malignancy, severe trauma, or obstetric complications. However, a gynecological etiology, such as hysterectomy, in a patient with adenomyosis has rarely been reported. We describe a case of a 42-year-old women who presented with DIC and acute kidney injury after a total hysterectomy. We thought that the cause for the acute kidney injury might be small vascular thrombosis and acute tubulointerstital nephritis due to probable catastrophic antiphospholipid syndrome with DIC. The patient was successfully treated with steroid therapy.
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KEYWORD
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Acute Kidney Injury, Disseminated intravascular coagulation, Hysterectomy
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