Nonobstructive Acute Renal Failure with a Large Solitary Fibroid. (7th June 2016)

• Record Type: Journal Article
• Authors: Elkattah, Rayan; Mashak, Zineb; Bakker, Blakele; Mohling, Shanti; Yilmaz, Ali; DePasquale, Stephen; Boren, Todd
• Other Names: Renner Stefan P. Academic Editor.
• Is Part Of: Case reports in obstetrics and gynecology. Volume 2016(2016)
• Publication Date: 2016-06-07
• Subjects: Obstetrics -- Periodicals; Gynecology -- Periodicals; Generative organs, Female -- Diseases -- Periodicals; Obstetrics; Gynecology; Genital Diseases, Female; Generative organs, Female -- Diseases; Gynecology; Obstetrics; Electronic journals; Periodicals; Periodicals; 618
• DOI: 10.1155/2016/4039890
• Languages: English
• ISSNs: 2090-6684

Abstract

Abstract : 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.