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KMID : 1214920150210010028
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Soonchunhyang Medical Science
2015 Volume.21 No. 1 p.28 ~ p.30
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Acute Kidney Injury Arising from Severe Hyperemesis Gravidarum: Case Report with a Review of Literatures
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Shim Sang-Min
Ryu Ae-Li
Kim Yun-Sook
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Abstract
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Severe hyperemesis gravidarum is a rare but potentially life-threatening it left untreated. Its serious complications are dehydration, ketosis, alkalosis from loss of hydrochloric acid, hypokalemia, and compromised pre-renal acute kidney injury. We experienced a very rare case of a 20-year-old woman who presented to the emergency department with severe hyperemesis gravidarum associated with a loss of kidney function at 25 weeks’ gestation. Her initial serum creatinine and blood urea nitrogen were 5.0 and 45.9 mg/dL, respectively. The patient underwent hemodialysis for three days and achieved a subsequent recovery of renal function. In conclusion, our case indicates that clinicians should be aware of the possibility of acute kidney injury associated with severe hyperemesis gravidarum although rare.
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KEYWORD
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Hyperemesis gravidarum, Acute kidney injury, Renal dialysis
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