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Article Synopsis
  • Acute kidney injury (AKI) during pregnancy is a critical clinical issue linked to high maternal and fetal morbidity, necessitating a study of its causes, symptoms, and outcomes.
  • A year-long prospective observational study at Indira Gandhi Institute of Medical Sciences involved 62 patients, primarily aged 18-25, who presented with emergency obstetric complications leading to acute kidney damage.
  • The findings revealed that most patients experienced symptoms such as oliguria, fever, and breathlessness, with a significant portion being non-booked and primigravida.
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Severe preeclampsia (PE) have considerable adverse outcome especially in low-resource countries. A 21-year-old pregnant woman with severe PE and intrauterine fetal death, delivered by cesarean section (CS). The CS complicated by atonic postpartum hemorrhage (PPH).

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Objective: Despite being a Critical Intervention in the WHO Near-miss concept, the indications and clinical outcomes of patients with Pregnancy-Related Acute Kidney Injury (PRAKI) requiring dialysis at the Obafemi Awolowo University Teaching Hospitals Complex, Nigeria remain unknown. This retrospective review was conducted to facilitate counselling, prognostication and introduction of preventative measures by providing contemporary data on the aetiology and clinical outcomes of women with PRAKI.

Study Design: A retrospective review.

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[Renal decapsulation for the treatment of anuria : A "forgotten" treatment from the early 20th century].

Urologe A

January 2017

Klinik und Poliklinik für Urologie, Universitätsmedizin Rostock, Ernst-Heydemann-Str. 6, 18057, Rostock, Deutschland.

In the early 20th century, Harrison first performed renal decapsulation in anuric children with scarlet fever and observed improvement in renal function postoperatively. The pathophysiological explanation was seen in intraparenchymal renal pressure due to edema which was improved by surgical decapsulation. The technique of decapsulation was simple excision after incision and blunt dissection of the renal parenchyma.

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Acute kidney injury (AKI) is one of the most challenging and serious complications of pregnancy. We present our experience on the clinical profile and outcome of 57 patients with pregnancy-related AKI, of a total of 580 patients with AKI seen during the study period. This is a prospective single-center study in a civil hospital conducted from January to December 2010.

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