African Journal of Nephrology | |
Bilateral renal cortical necrosis following abdominal surgery | |
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
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
RO202105240003741ZK.pdf | 494KB | download |