Bilateral Renocortical Necrosis with Recovery

Prolonged Oliguria with Survival in Acute Bilateral Cortical Necrosis

“…Two further survivors were reported to have urinary outputs of 1,000 ml. or more per 24 hours by the 25th and 32nd days respectively (Boucot et al, 1957;Chervony et at., 1965). The surviving patients in this series were oliguric for 38, 46, and 120 days.…”

“…Calcification of the renal cortex as a consequence of acute bilateral cortical necrosis has been reported in 5 of the 14 survivors (Groen and Lindeboom, 1940;Gormsen et al, 1955;Boucot et al, 1957;Oram et al, 1963;Vernon-Parry and Williams, 1963). As both the presence and the absence of calcification have been noted in the survivors it appears to have diagnostic rather than prognostic value.…”

“…Since then numerous clinical and pathological studies have suggested that it has an almost universally fatal outcome. However, in the past four decades there have been 14 individual reported survivors, two before the days of dialysis (Crook, 1927;Groen and Lindeboom, 1940;Gormsen et al, 1955 ;Alwall et al, 1957;Boucot et al, 1957;Lauler and Schreiner, 1958;Derot et al, 1960;Milne, 1961;Effers0e et al, 1962;Oram et al, 1963;Vernon-Parry and Williams, 1963;Chervony et al, 1965;Rieselbach et al, 1967;Riff et al, 1967). We here report three further survivors who, after prolonged periods of oliguria (less than 400 ml./24 hours), recovered sufficient renal function to maintain life.…”

The Alwall Artificial Kidney: An Assessment After One Year

“…The most important indication for hremodialysis is acute renal failure due to a recoverable lesion, where death from biochemical abnormality would occur before the return of renal function. All forms of acute failure of previously normal kidneys must be regarded as potentially recoverable, since return of renal function has now been recorded even after bilateral cortical necrosis (Gormsen et al, 1955 ;Ober et al, 1956 ;Boucot et al, 1957 ;Bleumle et al, 1959). Since the pathology is often not known, acute renal failure is here classified atiologically, and our patients are reviewed under these headings :-1.…”

The use of Haemodialysis in Acute Renal Failure and Overhydration in Children

“…Only five survivors with proven renal cortical necrosis have been reported and all were adult females in whom the condition was precipitated by obstetrical complications (Crook, 1927;Gormsen, Iversen and Raaschou, 1955;Ober, Reid, Romney and Merrill, 1956;Boucot, Guild and Merrill, 1957;Lauler and Schreiner, 1958). However, renal cortical necrosis in dehydrated infants, diagnosed at autopsy, has been well documented (Campbell and Henderson, 1949), and was in fact regarded as the commonest cause of acute renal failure in infancy (Zuelzer, Charles, Kurnetz, Newton and Fallon, 1951).…”