ACUTE RENAL FAILURE MIMICKING URINARY BLADDER INJURY AFTER CAESAREAN SECTION

Abstract

Acute renal failure (ARF) is now a rare, but serious complication of pregnancy. Nonpregnant patients who suffer an acute prerenal insult, such as hemorrhage, dehydration, or septic shock, may develop transient acute tubular necrosis (ATN) if inadequately treated. The same prerenal insult in pregnancy is more likely to develop into renal cortical necrosis with permanent renal impairment. Acute renal cortical necrosis (ACRN) has become a rare complication of pregnancy. The reduced incidence of septic abortion and improved management of peripartum obstetric emergencies has prevented prerenal impairment developing into ATN and then renal ARCN1A 24 year old third gravida with previous two caesarean sections was booked at CMH Murree for elective operation. She had two uneventful previous pregnancies. Her caesarean section was performed on 01 Sep 2010.