Data |
Case 1 |
Case 2 |
Case 3 |
Case 4 |
Case 5 |
Age (years) |
40 |
32 |
30 |
25 |
38 |
Medical past |
abortion
preeclampsia |
None |
None |
None |
2 abortions |
Number of pregnancies/deliveries |
5/4 |
9/9 |
5/5 |
1/1 |
7/5 |
Prenatal care during the last pregnancy |
Yes |
No |
Yes |
No |
Yes |
Obstetrical complication during the last pregnancy |
Retroplacentar hematoma |
Retroplacentar hematoma |
Preeclampsia and Retroplacentar hematoma |
Delivery hemorrhage |
Preeclampsia and Retroplacentar hematoma |
Mode of delivery |
Cesarean section |
Normal |
Cesarean section |
Normal |
Normal |
Blood pressure (mmHg) |
180/100 |
150/80 |
160/90 |
170/80 |
160/110 |
Urine output (mL/24h) |
700 |
<300 |
400 |
<300 |
<300 |
Biological findings |
-Serum creatinin: 6.35 mg/dL
-Hemoglobin level: 2.9 g/dL
-Platelets: 180,000/mm3
-Proteinuria: 6.4 g/24h |
- Serum creatinin: 7.25 mg/dL
- Hemoglobinlevel : 8.5 g/dL
-Platelets: 140,000/mm3
-Proteinuria: NA |
- Serum creatinin:13.2 mg/L
-Hemoglobinlevel: 4.9 g/dL
-Platelets: 129,000/mm3
-Proteinuria: 2 g/24h |
- Serum creatinin: 37.0 mg/dL
-Hemoglobin level: 4.7 g/dL
-Platelets:743,000/mm3
-Proteinuria: 0.8 g/24h |
- Serum creatinin:: 7.0 mg/dL
-Hemoglobinlevel: 6.7 g/dL
-Platelets: 78,000/mm3
-Proteinuria: NA |
Renal ultrasound
|
-Right kidney: 122 mm; hyperechogenic cortex.
-Left kidney: 125 mm; hyperechogenic cortex |
- Right kidney: 113 mm; hyperechogenic cortex.
- Left kidney: 119 mm; hyperechogenic cortex |
- Right kidney: 110 mm; hyperechogenic cortex.
- Left kidney: 102 mm; hyperechogenic cortex |
- Right kidney: 110 mm; hypoechogenic cortex.
- Left kidney: 105 mm; hypoechogenic cortex |
- Right kidney: 120 mm; hypoechogenic cortex.
- Left kidney: 120 mm; hypoechogenic cortex.
(Figure 2) |
Histological findings |
-subtotal cortical necrosis
- focal and segmental glomerulosclerosis
- tubular necrosis |
- subtotal cortical necrosis
- focal and segmental glomerulosclerosis |
- complete cortical necrosis
- thrombotic microangiopathy
- tubular necrosis
(figure 1
) |
- subtotal cortical necrosis
|
- subtotal cortical necrosis
-Diffuse interstitial fibrosis |