This case report is about the successful treatment of a patient with acute kidney injury during pregnancy. Primigravida at 37 weeks gestational age presented at the emergency department of our hospital with tonic – clonic muscle spasms. After performing immediate clinical examination and the appropriate lab investigation we reached to the diagnosis of HELLP syndrome and performed an emergency cesarean section, due to eclampsia during HELLP syndrome. Right after surgery, kidney dysfunction and rising creatinine levels led nephrologists to start dialysis sessions, because of the acute kidney injury. Postoperative period was without complications. On the sixth postoperative day the patient’s clinical status was significantly improved, thus she got discharged from the clinic. It was considered necessary by the nephrologists to continue the dialysis sessions until full rehabilitation of the renal function is succeeded. In this paper, apart from the presentation of the case, a literature review is attempted of the acute kidney injury during pregnancy, in relation to current available therapeutic options, which performed in – time contributes to the best possible prognostic outcome.
Acute myocardial infarction in pregnant women is an uncommon but potentially devastating complication with significantly increased rates of maternal and perinatal morbidity and mortality. The treatment of acute coronary syndrome in pregnancy is a unique clinical challenge. Published data on the use of thrombolytic drugs, percutaneous coronary intervention, coronary artery bypass grafting and optimal medical management of ischemic heart disease in pregnancy are limited. This article attempts to review acute myocardial infarction in pregnancy, regarding the basic treatment principles, the timely and correct application of which can yield the best possible result for the mother and the fetus and the newborn.
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