Postpartum hemolytic uremic syndrome with multiple organ involvement in a severe case.

Dear Editor, Postpartum hemolytic uremic syndrome (PHUS), first described in 1968, is defined as a thrombotic microangiopathy (TMA) typically following a normal delivery after a symptom-free interval (mean 26.6±35 days). It usually occurs in primigravida with the mean age of 27.0±6 years and preeclampsia is historically associated with the disease. The involvement of extrarenal vascular beds in PHUS has been less reported. Here we report for the first time a severe case of PHUS complicated by pancreatic necrosis, bilateral visual loss due to central retinal artery occlusion (CRAO) and disseminated intravascular coagulation (DIC).