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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Detalles Bibliográficos
Autores principales: Elkattah, Rayan, Mashak, Zineb, Bakker, Blakele, Mohling, Shanti, Yilmaz, Ali, DePasquale, Stephen, Boren, Todd
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4914727/
https://www.ncbi.nlm.nih.gov/pubmed/27375910
http://dx.doi.org/10.1155/2016/4039890
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author Elkattah, Rayan
Mashak, Zineb
Bakker, Blakele
Mohling, Shanti
Yilmaz, Ali
DePasquale, Stephen
Boren, Todd
author_facet Elkattah, Rayan
Mashak, Zineb
Bakker, Blakele
Mohling, Shanti
Yilmaz, Ali
DePasquale, Stephen
Boren, Todd
author_sort Elkattah, Rayan
collection PubMed
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.
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spelling pubmed-49147272016-07-03 Nonobstructive Acute Renal Failure with a Large Solitary Fibroid Elkattah, Rayan Mashak, Zineb Bakker, Blakele Mohling, Shanti Yilmaz, Ali DePasquale, Stephen Boren, Todd Case Rep Obstet Gynecol Case Report 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. Hindawi Publishing Corporation 2016 2016-06-07 /pmc/articles/PMC4914727/ /pubmed/27375910 http://dx.doi.org/10.1155/2016/4039890 Text en Copyright © 2016 Rayan Elkattah et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Elkattah, Rayan
Mashak, Zineb
Bakker, Blakele
Mohling, Shanti
Yilmaz, Ali
DePasquale, Stephen
Boren, Todd
Nonobstructive Acute Renal Failure with a Large Solitary Fibroid
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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4914727/
https://www.ncbi.nlm.nih.gov/pubmed/27375910
http://dx.doi.org/10.1155/2016/4039890
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