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Nephrol Dial Transplant (2002) 17: 1110-1112
© 2002 European Renal Association-European Dialysis and Transplant Association

Case Reports

Acute renal failure during acute fatty liver of pregnancy

Alketa Koroshi,1 and Adriana Babameto2

1 Department of Nephrology and 2 Department of Gastroenterology, University Hospital Center, Tirana, Albania

Keywords: acute fatty liver; acute renal failure; bilateral cortical necrosis; disseminated intravascular coagulation hepato-renal syndrome; microangiopathic syndromes



   Introduction
 
Acute fatty liver (AFL) is characterized by jaundice and liver dysfunction. It can occur at the end of pregnancy or in the early puerperium and is a rare cause of acute renal failure (ARF) [1,2].

We report here a case of a woman with AFL in a pregnancy complicated with ARF.



   Case
 
The patient, who was 28 years old and in her first pregnancy (34 weeks), was admitted to the obstetric ward because of jaundice. She complained of weakness, anorexia, and vomiting. No history of high blood pressure was reported. On the first day of hospitalization she spontaneously delivered a ‘mors in utero’. The immediate postpartum period was followed by a severe haemorrhage and it became necessary to perform a subtotal hysterectomy because of persistent atony of the uterus. However, jaundice advanced and the clinical situation worsened. Twenty-four hours after delivery the urinary output was 1.2 . . . [Full Text of this Article]



   Discussion
 


   Comments
 


   Acknowledgments
 


   Notes
 


   References
 

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