DISSEMINATED INTRAVASCULAR COAGULATION AND ACUTE KIDNEY INJURY REQUIRING RENAL REPLACEMENT THERAPY AFTER DIAGNOSTIC AMNIOCENTESIS

Abstract

Diseminirana intravaskularna koagulacija (DIK) je vrlo rijetka komplikacija amniocenteze. Opisujemo slučaj 33-godišnje bolesnice koja je nakon dijagnostičke amniocenteze razvila DIK s posljedičnom akutnom ozljedom bubrega. Bubrežna funkcija je nadomještana kontinuiranom veno-venskom hemodijafiltracijom tijekom osam dana, a nakon toga intermitentnom hemodijalizom. Stanje je bilo dodatno komplicirano razvojem intracerebralnog hematoma i akutnim respiratornim distres sindromom. Nakon 67 dana hospitalizacije bolesnica je otpuštena na kućnu njegu sa serumskim kreatininom 337 umol/L. Bolesnica se uspješno oporavila i ostvarila uspješnu trudnoću koja je u tijeku.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

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