Postpartum atypical haemolytic uremic syndrome: a rare case report

Authors

  • Neha Khatod Department of Obstetrics and Gynecology, ESIC Model Hospital, Madhya Pradesh, India
  • Shubhra Mukharjee Department of Obstetrics and Gynecology, ESIC Model Hospital, Madhya Pradesh, India
  • Vijay Malviya Department of Medicine, ESIC Model Hospital, Madhya Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20204839

Keywords:

Hemolytic uremic syndrome, Plasmapheresis, Fresh frozen plasma, Acute renal failure

Abstract

Hemolytic uremic syndrome (HUS) is characterized by triad of microangiopathic hemolytic anaemia, Thrombocytopenia and Acute renal failure. Genetically predisposed women develop HUS and may be triggered by pregnancy. The diagnosis is challenging due to overlapping clinical features of other diseases in pregnancy. The long-term prognosis is guarded. We are presenting a case of a young primigravida who underwent emergency lower (uterine) segment caesarean section (LSCS). She developed progressive anaemia, thrombocytopenia and renal failure postoperatively. Aggressive management with plasmapheresis, blood transfusions and hemodialysis saved her life. She is currently in remission.

Author Biographies

Neha Khatod, Department of Obstetrics and Gynecology, ESIC Model Hospital, Madhya Pradesh, India

senior resident, dept of obstetrics & gynecology.

Shubhra Mukharjee, Department of Obstetrics and Gynecology, ESIC Model Hospital, Madhya Pradesh, India

specialist, grade 1, dept of obstetrics & gynecology

Vijay Malviya, Department of Medicine, ESIC Model Hospital, Madhya Pradesh, India

consultant medicine & nephrology

References

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Published

2020-10-27

Issue

Section

Case Reports