Nonobstructive Acute Renal Failure with a Large Solitary Fibroid
A 38-year-old African American woman presenting with acute abdominal pain and nonobstructive renal failure was found to have an enlarged fibroid uterus. A differential for sepsis was considered. Lab evaluation revealed an elevated creatinine and myoglobin level at 3.9 mg/dL and 2140 ng/mL, respectiv...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2016/4039890 |
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| _version_ | 1850167847258423296 |
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| author | Rayan Elkattah Zineb Mashak Blakele Bakker Shanti Mohling Ali Yilmaz Stephen DePasquale Todd Boren |
| author_facet | Rayan Elkattah Zineb Mashak Blakele Bakker Shanti Mohling Ali Yilmaz Stephen DePasquale Todd Boren |
| author_sort | Rayan Elkattah |
| collection | DOAJ |
| description | A 38-year-old African American woman presenting with acute abdominal pain and nonobstructive renal failure was found to have an enlarged fibroid uterus. A differential for sepsis was considered. Lab evaluation revealed an elevated creatinine and myoglobin level at 3.9 mg/dL and 2140 ng/mL, respectively. Ongoing hemodynamic instability mandated surgery for acute abdomen. A 25 cm fibroid uterus was extirpated through a total abdominal hysterectomy. Immediate improvement of acute nephropathy mirrored the postoperative decline in serum myoglobin levels. Myoglobinemia from a massive degenerating fibroid is associated with nonobstructive acute renal failure. |
| format | Article |
| id | doaj-art-dff9398fbe4b4e6488cbf770777baac8 |
| institution | OA Journals |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-dff9398fbe4b4e6488cbf770777baac82025-08-20T02:21:07ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922016-01-01201610.1155/2016/40398904039890Nonobstructive Acute Renal Failure with a Large Solitary FibroidRayan Elkattah0Zineb Mashak1Blakele Bakker2Shanti Mohling3Ali Yilmaz4Stephen DePasquale5Todd Boren6Department of Obstetrics and Gynecology, University of Tennessee Chattanooga College of Medicine, Chattanooga, TN 37403, USADepartment of Obstetrics and Gynecology, University of Tennessee Chattanooga College of Medicine, Chattanooga, TN 37403, USADepartment of Obstetrics and Gynecology, University of Tennessee Chattanooga College of Medicine, Chattanooga, TN 37403, USADepartment of Obstetrics and Gynecology, University of Tennessee Chattanooga College of Medicine, Chattanooga, TN 37403, USAGülhane Military Medical Academy Haydarpasa Training Hospital, Department of Obstetrics and Gynecology, Selimiye Mahallesi, Tibbiye Caddesi, 34668 Istanbul, TurkeyDivision of Gynecology Oncology, University of Tennessee Chattanooga College of Medicine, Chattanooga, TN 37403, USADivision of Gynecology Oncology, University of Tennessee Chattanooga College of Medicine, Chattanooga, TN 37403, USAA 38-year-old African American woman presenting with acute abdominal pain and nonobstructive renal failure was found to have an enlarged fibroid uterus. A differential for sepsis was considered. Lab evaluation revealed an elevated creatinine and myoglobin level at 3.9 mg/dL and 2140 ng/mL, respectively. Ongoing hemodynamic instability mandated surgery for acute abdomen. A 25 cm fibroid uterus was extirpated through a total abdominal hysterectomy. Immediate improvement of acute nephropathy mirrored the postoperative decline in serum myoglobin levels. Myoglobinemia from a massive degenerating fibroid is associated with nonobstructive acute renal failure.http://dx.doi.org/10.1155/2016/4039890 |
| spellingShingle | Rayan Elkattah Zineb Mashak Blakele Bakker Shanti Mohling Ali Yilmaz Stephen DePasquale Todd Boren Nonobstructive Acute Renal Failure with a Large Solitary Fibroid Case Reports in Obstetrics and Gynecology |
| title | Nonobstructive Acute Renal Failure with a Large Solitary Fibroid |
| title_full | Nonobstructive Acute Renal Failure with a Large Solitary Fibroid |
| title_fullStr | Nonobstructive Acute Renal Failure with a Large Solitary Fibroid |
| title_full_unstemmed | Nonobstructive Acute Renal Failure with a Large Solitary Fibroid |
| title_short | Nonobstructive Acute Renal Failure with a Large Solitary Fibroid |
| title_sort | nonobstructive acute renal failure with a large solitary fibroid |
| url | http://dx.doi.org/10.1155/2016/4039890 |
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