CASE REPORT
Year : 2015  |  Volume : 8  |  Issue : 4  |  Page : 540-542

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


Deptartment of Radio Diagnosis, Jivraj Mehta Hospital, Ahmadabad, Gujarat, India

Correspondence Address:
Shwetang M Solanki
Department of Radio Diagnosis, Jivraj Mehta Hospital, Ahmadabad - 380 007, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0975-2870.160833

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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.


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