Pregnancy associated atypical hemolytic uremic syndrome (pa-aHUS) is a rare thrombotic microangiopathy (TMA), fatal in 50-60% of cases. It‘s typical clinical presentation is a triad of microangiopathic hemolytic anaemia, thrombocytopenia and acute progressive renal failure. Plasmapheresis therapy is recommended as a specific treatment. Retrospective analysis of medical documentation of a patient, who was treated for the pa-aHUS in Vilnius University Hospital Santaros Klinikos, was carried out. 44-year old 34th-week pregnant woman was admitted to Vilnius University Hospital Santaros Klinikos with signs of preeclampsia. As preeclampsia progressed, caesarian section was performed. The classical triad of aHUS was observed.
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