Reemplazo renal continuo en eclampsia y síndrome de HELLP. Reporte de un caso

Introduction

Preeclampsia is considered a maternal multisystemic disease mediated by injury to the endothelium, which could be modified by characteristics such as: age, obesity, and cardiovascular disease, among other factors.

Case report

The case is presented of a 33 year-old pregnant woman, who during her stay at Hospital General Regional, Lic. Emilio Sánchez Piedras, developed eclampsia and HELLP syndrome during hospital admission. She also progressed to kidney injury (AKIN 3), which required treatment with slow continuous renal replacement therapy (CRRT). She also acquired a hepatic subcapsular haematoma, diagnosed by abdominal tomography.

Conclusions

The use of CRRT is a novel treatment in pregnant or post-partum patients, who develop AKI, co-existing with fluid overload in the presence of anuria and haemodynamic instability problems, which increase maternal morbidity and mortality.