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A Case Report of Abdominal Pain with Acute Kidney Injury and Elevated Pancreatic Enzymes

췌장 효소 상승을 동반한 급성 신손상 환자의 복통 치험 1례

  • Do-hyeon Kim (Dept. of Korean Internal Medicine, College of Korean Medicine, Se-Myung University) ;
  • Kyung-hwan Kong (Dept. of Korean Internal Medicine, College of Korean Medicine, Se-Myung University)
  • 김도현 (세명대학교 한의과대학 한방내과학교실) ;
  • 공경환 (세명대학교 한의과대학 한방내과학교실)
  • Received : 2023.09.14
  • Accepted : 2023.11.04
  • Published : 2023.10.30

Abstract

Objectives: The aim of this study is to report the effectiveness and safety of herbal medicine treatment for abdominal pain with acute kidney injury. Methods: A 80-year-old female patient presented with abdominal pain. Blood test results showed increased blood urea nitrogen, serum creatinine, amylase, and lipase. The patient was treated with acupuncture and herbal medicine, specifically Hyangsayukgunja-tang-gahwangryeon for 4 days and Gagam-gunbi-tang for 11 days. Gastrointestinal symptoms were assessed using the Numerical Rating Scale, Gastrointestinal Symptom Rating Scale, and abdominal examination. Results: Gastrointestinal symptoms improved after taking Korean herbal medicine. Additionally, blood urea nitrogen, serum creatinine, amylase, and lipase levels showed improvement compared to values before treatment. Conclusions: Korean medicine treatment can improve clinical symptoms without damaging the kidneys of patients with acute kidney injuries.

Keywords

References

  1. Mehta RL, Kellum JA, Shah SV, Molitoris BA, Ronco C, Warnock DG, et al. Acute Kidney Injury Network: report of an initiative to improve outcomes in acute kidney injury. Crit Care 2007;11(2):1-8.  https://doi.org/10.1186/cc5713
  2. Bellomo R, Ronco C, Kellum JA, Mehta RL, Palevsky P. Acute Dialysis Quality Initiative workgroup. Acute renal failure-definition, outcome measures, animal models, fluid therapy and information technology needs: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group. Crit Care 2004;8(4):1-9.  https://doi.org/10.1186/cc2404
  3. Kim DK, Joo KW. Definition and evaluation of acute kidney injury: clinical practice guidelines. Korean J Med 2015;88(4):357-62.  https://doi.org/10.3904/kjm.2015.88.4.357
  4. Khwaja A. KDIGO clinical practice guideline for acute kidney injury. Nephron Clin Pract 2012;120(4):c179-84.  https://doi.org/10.1159/000339789
  5. Jeongukhanuigwadaehak Singyenaegwahakgyosil. Singyenaegwahak. 2nd ed. Seoul: Koonja Publishing Co.; 2015, p. 223-6. 
  6. Sun JJ, Kim SM, Jung JH, Na BJ, Hong JW, Jung WS, et al. The Effect of Shiryungtang on ARF after Stroke. J Oriental Chr Dis 2005;10(1):46-52. 
  7. Seo CW, Hwang WD. A Case Report of Korean Medical Therapy in Acute Postrenal Failure from Obstructive Uropathy. J Int Korean Med 2008;29(2):522-8. 
  8. Kim MJ, Park SW, Seo YJ, Ryu JH. A Case Report of Drug-Induced Acute Renal Failure Treated with Herbal Medicine. J Int Korean Med 2016;37(5):755-62.  https://doi.org/10.22246/jikm.2016.37.5.755
  9. Kim BS. Acute kidney injury: definition, incidence, etiology, outcome. Korean J Med 2012;82(1):1-4.  https://doi.org/10.3904/kjm.2012.82.1.1
  10. Fu EL, Trevisan M, Clase CM, Evans M, Lindholm B, Rotmans JI, et al. Association of acute increases in plasma creatinine after renin-angiotensin blockade with subsequent outcomes. Clin J Am Soc Nephrol 2019;14(9):1336-45.  https://doi.org/10.2215/CJN.03060319
  11. Patschan D, Patschan S, Buschmann I, Ritter O. Loop diuretics in acute kidney injury prevention, therapy, and risk stratification. Kidney Blood Press Res 2019;44(4):457-64.  https://doi.org/10.1159/000501315
  12. DeFronzo R, Fleming GA, Chen K, Bicsak TA. Metformin-associated lactic acidosis: Current perspectives on causes and risk. Metabolism 2016;65(2):20-9.  https://doi.org/10.1016/j.metabol.2015.10.014
  13. Scorza K, Williams A, Phillips JD, Shaw J. Evaluation of nausea and vomiting. Am Fam Physician 2007;76(1):76-84. 
  14. Ju YS. Ungok Herbology. 2nd ed. Jeonju: Woosuk Press; 2013, p. 327-9, 454-5, 678-80, 694-5, 1020-1, 1379. 
  15. Lee SH. Evaluation of asymptomatic hyperamylasemia and hyperlipasemia. Korean J Pancreas Biliary Tract 2017;22(3):103-13. https://doi.org/10.15279/kpba.2017.22.3.103