Nonobstructive Acute Renal Failure with a Large Solitary Fib
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Case
A 38-year-old G2P2 African American woman presented with 3-hour duration of severe abdominal pain, nausea, and vomiting. Her pain was acute in onset and constant in nature, radiated to both groins, and was progressively worsening. She denied any musculoskeletal pain. Her past medical history was significant for hypertension, fibroid uterus, and a cholecystectomy. She had worsening menorrhagia over the past two months. Her last gynecologic evaluation was three years prior to presentation. She reported tobacco use and denied alcohol or drug consumption. Physical examination revealed diffuse rebound tenderness and a palpable abdominal mass. Initial vital signs were as follows: temperature of 38.6°C, heart rate of 122 beats per minute, blood pressure of 48/37, and respiratory rate of 31 breaths per minute. Oxygen saturation was 88% and increased to 94% on 2 liters of nasal oxygen....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4914727/
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Dr. H●●●●h D●●●i
Dr. H●●●●h D●●●i Obstetrics and Gynaecology
Fibroids can grow to notoriously large size before becoming symptomatic. Degeneration in such large fibroids can be dangerous as reported in this case.
Apr 21, 2017Like