Bilateral renal cortical necrosis following abdominal surgery

African Journal of Nephrology

article

MY Chothia¹  WD Bates²  MR Davids³ 

[1] Stellenbosch University and Tygerberg Academic Hospital;3Division of Anatomical Pathology, National Health Laboratory Services, Stellenbosch University and Tygerberg AcademicHospital;Stellenbosch University and Tygerberg Hospital

关键词: Abdominal surgery;    anuria;    biopsy;    bilateral renal cortical necrosis;    inflammatory boweldisease.;   

DOI  :  10.21804/19-1-1483

学科分类：数学（综合）

来源: African Association of Nephrology

【 摘 要 】

A 58-year-old patient developed complete anuria following elective abdominal surgery for an ileocaecal mass. Contrast-enhanced computed tomography demonstrated absent intra-renal blood flow and a kidney biopsy confirmed diffuse cortical necrosis. Histology of the ileocaecal mas displayed deep fissuring which was diagnostic of Crohn’s disease. Bilateral renal cortical necrosis (BRCN) is a rare complication of surgery but should be considered in any patient developing complete anuria. Since the disease is often associated with a coagulopathy, conditions predisposing to thrombosis should be sought. Inflammatory Bowel Disease (IBD) with surgical complications, as in this case, should be considered among the conditions which may predispose to BRCN.

【 授权许可】

CC BY