Successful recovery from an acute kidney injury due to amniotic fluid embolism

Intern Med. 2015;54(1):49-54. doi: 10.2169/internalmedicine.54.2348. Epub 2015 Jan 1.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Acute Kidney Injury / etiology*
  • Acute Kidney Injury / therapy*
  • Adult
  • Delivery, Obstetric / adverse effects*
  • Embolism, Amniotic Fluid / diagnosis*
  • Female
  • Humans
  • Japan
  • Pregnancy
  • Pregnancy Trimester, Third
  • Renal Replacement Therapy
  • Shock, Hemorrhagic / etiology*
  • Shock, Hemorrhagic / therapy
  • Treatment Outcome