Severe Renal Hemorrhage in a Pregnant Woman Complicated with Antiphospholipid Syndrome: A Case Report
Antiphospholipid syndrome is a systemic autoimmune disease with thrombotic tendency. Consensus guidelines for pregnancy with antiphospholipid syndrome recommend low-dose aspirin combined with unfractionated or low-molecular-weight heparin because antiphospholipid syndrome causes habitual abortion. W...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2011-01-01
|
| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2011/791094 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832556105089155072 |
|---|---|
| author | Shohei Kawaguchi Kouji Izumi Takahiro Nohara Tohru Miyagi Hiroyuki Konaka Atsushi Mizokami Eitetsu Koh Mikio Namiki |
| author_facet | Shohei Kawaguchi Kouji Izumi Takahiro Nohara Tohru Miyagi Hiroyuki Konaka Atsushi Mizokami Eitetsu Koh Mikio Namiki |
| author_sort | Shohei Kawaguchi |
| collection | DOAJ |
| description | Antiphospholipid syndrome is a systemic autoimmune disease with thrombotic tendency. Consensus guidelines for pregnancy with antiphospholipid syndrome recommend low-dose aspirin combined with unfractionated or low-molecular-weight heparin because antiphospholipid syndrome causes habitual abortion. We report a 36-year-old pregnant woman diagnosed with antiphospholipid syndrome receiving anticoagulation treatment. The patient developed left abdominal pain and gross hematuria at week 20 of pregnancy. An initial diagnosis of left ureteral calculus was made. Subsequently abdominal-pelvic computed tomography was required for diagnosis because of the appearance of severe contralateral pain. Computed tomography revealed serious renal hemorrhage, and ureteral stent placement and pain control by patient-controlled analgesia were required. After treatment, continuance of pregnancy was possible and vaginal delivery was performed safely. This is the first case report of serious renal hemorrhage in a pregnant woman with antiphospholipid syndrome receiving anticoagulation treatment and is an instructive case for urological and obstetrical practitioners. |
| format | Article |
| id | doaj-art-12cd3bc7b03e43c493843c4a63456df9 |
| institution | Kabale University |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Urology |
| spelling | doaj-art-12cd3bc7b03e43c493843c4a63456df92025-02-03T05:46:21ZengWileyAdvances in Urology1687-63691687-63772011-01-01201110.1155/2011/791094791094Severe Renal Hemorrhage in a Pregnant Woman Complicated with Antiphospholipid Syndrome: A Case ReportShohei Kawaguchi0Kouji Izumi1Takahiro Nohara2Tohru Miyagi3Hiroyuki Konaka4Atsushi Mizokami5Eitetsu Koh6Mikio Namiki7Department of Integrative Cancer Therapy and Urology, Kanazawa University Graduate School of Medical Science, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8641, JapanDepartment of Integrative Cancer Therapy and Urology, Kanazawa University Graduate School of Medical Science, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8641, JapanDepartment of Integrative Cancer Therapy and Urology, Kanazawa University Graduate School of Medical Science, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8641, JapanDepartment of Integrative Cancer Therapy and Urology, Kanazawa University Graduate School of Medical Science, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8641, JapanDepartment of Integrative Cancer Therapy and Urology, Kanazawa University Graduate School of Medical Science, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8641, JapanDepartment of Integrative Cancer Therapy and Urology, Kanazawa University Graduate School of Medical Science, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8641, JapanDepartment of Integrative Cancer Therapy and Urology, Kanazawa University Graduate School of Medical Science, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8641, JapanDepartment of Integrative Cancer Therapy and Urology, Kanazawa University Graduate School of Medical Science, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8641, JapanAntiphospholipid syndrome is a systemic autoimmune disease with thrombotic tendency. Consensus guidelines for pregnancy with antiphospholipid syndrome recommend low-dose aspirin combined with unfractionated or low-molecular-weight heparin because antiphospholipid syndrome causes habitual abortion. We report a 36-year-old pregnant woman diagnosed with antiphospholipid syndrome receiving anticoagulation treatment. The patient developed left abdominal pain and gross hematuria at week 20 of pregnancy. An initial diagnosis of left ureteral calculus was made. Subsequently abdominal-pelvic computed tomography was required for diagnosis because of the appearance of severe contralateral pain. Computed tomography revealed serious renal hemorrhage, and ureteral stent placement and pain control by patient-controlled analgesia were required. After treatment, continuance of pregnancy was possible and vaginal delivery was performed safely. This is the first case report of serious renal hemorrhage in a pregnant woman with antiphospholipid syndrome receiving anticoagulation treatment and is an instructive case for urological and obstetrical practitioners.http://dx.doi.org/10.1155/2011/791094 |
| spellingShingle | Shohei Kawaguchi Kouji Izumi Takahiro Nohara Tohru Miyagi Hiroyuki Konaka Atsushi Mizokami Eitetsu Koh Mikio Namiki Severe Renal Hemorrhage in a Pregnant Woman Complicated with Antiphospholipid Syndrome: A Case Report Advances in Urology |
| title | Severe Renal Hemorrhage in a Pregnant Woman Complicated with Antiphospholipid Syndrome: A Case Report |
| title_full | Severe Renal Hemorrhage in a Pregnant Woman Complicated with Antiphospholipid Syndrome: A Case Report |
| title_fullStr | Severe Renal Hemorrhage in a Pregnant Woman Complicated with Antiphospholipid Syndrome: A Case Report |
| title_full_unstemmed | Severe Renal Hemorrhage in a Pregnant Woman Complicated with Antiphospholipid Syndrome: A Case Report |
| title_short | Severe Renal Hemorrhage in a Pregnant Woman Complicated with Antiphospholipid Syndrome: A Case Report |
| title_sort | severe renal hemorrhage in a pregnant woman complicated with antiphospholipid syndrome a case report |
| url | http://dx.doi.org/10.1155/2011/791094 |
| work_keys_str_mv | AT shoheikawaguchi severerenalhemorrhageinapregnantwomancomplicatedwithantiphospholipidsyndromeacasereport AT koujiizumi severerenalhemorrhageinapregnantwomancomplicatedwithantiphospholipidsyndromeacasereport AT takahironohara severerenalhemorrhageinapregnantwomancomplicatedwithantiphospholipidsyndromeacasereport AT tohrumiyagi severerenalhemorrhageinapregnantwomancomplicatedwithantiphospholipidsyndromeacasereport AT hiroyukikonaka severerenalhemorrhageinapregnantwomancomplicatedwithantiphospholipidsyndromeacasereport AT atsushimizokami severerenalhemorrhageinapregnantwomancomplicatedwithantiphospholipidsyndromeacasereport AT eitetsukoh severerenalhemorrhageinapregnantwomancomplicatedwithantiphospholipidsyndromeacasereport AT mikionamiki severerenalhemorrhageinapregnantwomancomplicatedwithantiphospholipidsyndromeacasereport |