Hemodialysis Vascular Access Challenge in Severe Thrombocytopenia in a Resource-Limited Setting: A Case Report of a 28-Year-Old Patient with Acute Kidney Injury, Severe Preeclampsia with HELLP syndrome

Vol - 31, Issue - 09

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[This article belongs to Volume - 31, Issue - 09]

International Medical Journal

Journal ID : IMJ-08-12-2024-1727

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Title : Hemodialysis Vascular Access Challenge in Severe Thrombocytopenia in a Resource-Limited Setting: A Case Report of a 28-Year-Old Patient with Acute Kidney Injury, Severe Preeclampsia with HELLP syndrome

Abstract : This case report highlights the challenges faced in establishing a hemodialysis vascular access in a 28-year- old patient with acute kidney injury, severe preeclampsia with hemolysis, elevated liver enzymes and low platelet (HELLP syndrome). The patient's severe thrombocytopenia posed significant difficulties in achieving a suitable vascular access for hemodialysis. The report emphasizes the importance of a multidisciplinary approach and resourcefulness as well as strong clinical judgment in managing such complex cases in resource-limited settings.

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