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DISSEMINATED INTRAVASCULAR COAGULATION AND ACUTE KIDNEY INJURY REQUIRING RENAL REPLACEMENT THERAPY AFTER DIAGNOSTIC AMNIOCENTESIS
MARINA RATKOVIĆ
orcid.org/0000-0002-4021-1836
; Montenegro Clinical Center, Department of Nephrology, Podgorica, Montenegro
NIKOLINA BAŠIĆ-JUKIĆ
orcid.org/0000-0002-0221-2758
; Zagreb University Hospital Center, Department of Nephrology, Arterial Hypertension, Dialysis and Transplantation, Zagreb, Croatia
BRANKA GLEDOVIĆ
; Montenegro Clinical Center, Department of Nephrology, Podgorica, Montenegro
DANILO RADUNOVIĆ
; Montenegro Clinical Center, Department of Nephrology, Podgorica, Montenegro
Abstract
Disseminated intravascular coagulation (DIC) is a very rare complication of amniocentesis. We present a case of a 33-year-old patient who developed DIC with acute respiratory distress syndrome and acute kidney injury after diagnostic amniocentesis. The patient required replacement of renal function for 59 days with continuous venovenous hemodiafiltration and later with hemodialysis. She was treated with heparin, fresh frozen plasma, platelets and cryoprecipitate. Her condition was further complicated with the development of intracranial hematoma. After 67 days of hospitalization, she was discharged from the hospital with serum creatinine 337 μmol/L. Three years later, her serum creatinine was 102 μmol/L, and she is currently in the 7th month of pregnancy.
Keywords
amniocentesis; pregnancy; disseminated intravascular coagulation; acute respiratory distress syndrome; continuous venovenous hemodiafiltration; acute kidney injury
Hrčak ID:
126811
URI
Publication date:
14.9.2014.
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