A rare entity of acute bilateral cortical renal necrosis following acute pancreatitis

Medical Journal of Dr. D.Y. Patil University

关键词: Acute pancreatitis;    acute renal failure;    bilateral renal cortical necrosis;    reverse rim sign;   

DOI  :  10.4103/0975-2870.160833

来源: DOAJ

【 摘 要 】

Acute bilateral renal cortical necrosis following acute pancreatitis is extremely rare condition. Among all cases of acute renal failure, the incidence of renal cortical necrosis was 3.8% in one of the study in North India. Till date, only eight cases of bilateral cortical necrosis following acute pancreatitis were reported in the literature. We report a case of a 27-year-old male patient with abdominal pain, nausea and vomiting since 2 days duration and anuria since 24 h. Serum amylase and lipase were raised, and elevated serum creatinine was noted on admission. Contrast-enhanced computed tomography scan of the abdomen revealed changes of acute pancreatitis with hypoenhancement of renal cortex compared to medulla on both sides (reverse rim sign-stronger enhancement of the renal medulla compared to cortex), suggest an acute renal cortical necrosis.

【 授权许可】

Unknown