Pregnancy-related acute kidney injury in a 31 year old primigravida

Abstract

Pregnancy-related acute kidney injury (AKI), a common obstetrics complication, could be associated with low detection rates particularly in resource-poor settings; hence, an optimized treatment plan is needed for better outcome. We present the case management of a 31-year-old primigravida who had tonic-clonic seizures, progressively declining urine volume and anuria. She had no prior risk factor for kidney disease. She was unconscious, pale, had jaundice and blood pressure was 160/110 mmHg. Laboratories showed deranged kidney and liver function, anemia, and low platelets. With a Stage 3 AKI, she was successfully delivered of a live fetus and managed on a multidisciplinary basis with four low-heparin hemodialysis sessions, cardio-protection, and antibiotics and she recovered normal kidney function.