SUN-054 A CASE WITH ASCITES, PROTEINURIA AND OLIGURIA FOLLOWING POST-PARTUM HELLP SYNDROME TREATED BY EXTRACORPOREAL ULTRAFILTRATION: RENAL CONGESTION AS THE 4TH CATEGORY OF ACUTE KIDNEY INJURY

摘要

Introduction: Heart failure often causes acute kidney injury (AKI) andthe relationship is called cardiorenal syndrome. Not only low cardiacoutput, but also renal congestion is increasingly considered as themajor cause of AKI among heart failure patients. Renal congestionmay be also caused by other pathologic conditions such as livercirrhosis and hypoalbuminemia. Decongestion by diuretics canimprove cardiorenal syndrome, but it is difficult to prove that thekidney rather than the heart was the main site of action. In thepresent report, a patient developed severe HELLP syndrome imme-diately after delivery of a baby. Thrombocytopenia and elevated liverenzymes were largely improved within a week, but anuria and severeascites continued, which were resistant to oral or iv diuretics. Webelieve this was a unique case with purely mechanical renalcongestion, not associated with heart failure or liver dysfunction.