A Case of Sepsis and Acute Kidney Injury Caused by Uterine Prolapse

Hiromasa Suzuki¹ and Youichi Yanagawa^2,

¹Department of Gastroenterology, Numazu City Hospital, Numazu, Japan

²Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University, Izunokuni, Japan

Cite this paper

Hiromasa Suzuki and Youichi Yanagawa. A Case of Sepsis and Acute Kidney Injury Caused by Uterine Prolapse. American Journal of Medical Case Reports. 2021; 9(2):92-94. doi: 10.12691/AJMCR-9-2-1

Abstract

A 71-year-old woman with a history of diabetes mellitus, hypertension, dyslipidemia and ischemic heart disease, had appetite loss and difficulty moving. She had had one daughter via vaginal delivery. On arrival, she had uterine prolapse from the vagina, stage IV. Whole-body computed tomography indicated uterine prolapsed, distended bladder, bilateral hydro-ureter and nephrosis. An indwelling balloon catheter showed pyuria. The results of a biochemical blood analysis showed acute kidney infection and an inflammatory response. She underwent infusion of Ceftriaxone and was admitted to the general ward. On the second hospital day, she underwent insertion of an intravaginal ring. On the third hospital day, she showed improvement of inflammation and a return to the normal renal function. After physical rehabilitation, she was discharged on the 14th hospital day with an indwelling balloon catheter. We herein report a rare case of sepsis and renal dysfunction caused by uterine prolapse. A prompt diagnosis followed by early relief of the obstruction resulted in improvement of the renal function.

Keywords

uterine prolapsed, sepsis, acute kidney injury

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

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