Prolonged Oliguria with Survival in Acute Bilateral Cortical Necrosis

Walls, John; Schorr, Wagner J.; Kerr, David

doi:10.1136/bmj.4.5625.220

Cited by 20 publications

(11 citation statements)

References 13 publications

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“…In the present case once patency of the renal arteries had been confirmed by postoperative arteriography a prolonged period of intermittent haemodialysis was necessary. Equally long or longer oliguric phases have been described in patients recovering from acute cortical necrosis (Walls, Schorr, and Kerr, 1968). Also described in acute cortical necrosis (Rieselbach, Klahr, and Bricker, 1967;Walls and others, 1968) is the slow improvement in renal function noted in our patient.…”

Section: Discussionsupporting

confidence: 74%

Bilateral traumatic renal artery occlusion with survival after late reconstitution of arterial flow

Birkenstock

Rabkin

Stables

1972

Journal of British Surgery

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Section: Discussionsupporting

confidence: 74%

Bilateral traumatic renal artery occlusion with survival after late reconstitution of arterial flow

Birkenstock

Rabkin

Stables

1972

Journal of British Surgery

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“…The acute cortical necrosis was wide spread and scattered and the presence of normal glomeruli probably accounted for the recovery of adequate renal function for survival (Lloyd-Thomas, Balm and Key, 1962). Survival has been described in only a very small proportion of patients with acute cortical necrosis and this case indicates that survival is also possible in the cortical necrosis following snake bite (Walls, Schorr and Kerr, 1968). The vasculotoxic properties of snake venom probably caused the prolonged ischaemia necessary for the development of the renal cortical necrosis (Papper, 1971).…”

Section: Discussionmentioning

confidence: 94%

Survival in renal cortical necrosis due to snake bite

Ramachandran

Perera

1974

Postgraduate Medical Journal

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“…17 In the developed countries, RCN accounts for 52% of all the cases of AKI in adults and more than 20% of AKI during the third trimester of pregnancy. 1,5,13 This trend was noted in the western countries as early as the 1980s. 18,19 Obstetric AKI-related RCN was observed in 26% (patchy 1% and diffuse 25%) of the cases in 1970s in North India.…”

Section: Discussionmentioning

confidence: 97%

“…In western countries, RCN accounts for 2% of all cases of acute renal failure. 1,5,13,14 However, the incidence is higher (3-7%) in developing countries. 2,4 It can be associated with a variety of conditions like sepsis, extensive burns, pancreatitis, snake bite and diabetic ketoacidosis; but the obstetric complications are the commonest causes of renal cortical necrosis (50-70%).…”

Section: Discussionmentioning

confidence: 99%

Renal cortical necrosis is a disappearing entity in obstetric acute kidney injury in developing countries: our three decade of experience from India

et al. 2015

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Rational: Obstetrical complications are the commonest causes of Renal Cortical Necrosis (RCN). However, the overall incidence of RCN in obstetric acute kidney injury in developing countries has been decreasing in recent years. Objective: The aim of this study was to evaluate the changing profile of RCN in obstetric AKI over the last three decades. Methods: This single center study included patients with biopsy proven renal cortical necrosis over a period of 32 years from 1982 to 2014. The diagnosis of RCN was suspected in patients with prolonged AKI (44 weeks) with absolute anuria in the setting of hemorrhage, hypotension and sepsis; and was confirmed by renal biopsy. The changing pattern in the incidence, etiology and outcome of RCN in patients with obstetric AKI was compared in the three study periods, namely 1982-1991, 1992-2002 and 2003-2014. Results: Over a period of 32 years, RCN was diagnosed in 15/259(5.8%) cases of obstetric AKI. Diffuse and patchy cortical necrosis were noted in 8(53.3%) and 7(46.7%) patients, respectively. RCN occurred in 17%(11/65), 2.4%(3/125) and 1.44%(1/69) patients in 1982-1991, 1992-2002 and 2003-2014, respectively. Septic abortion was commonest cause of RCN in the first two study periods but no case was observed in last decade. The decrease in incidence of RCN over the three decades was statistically significant (p-value50.001). Maternal mortality decreased to zero in 2003-2014 from 72.7% in 1982-1991. Conclusions: The incidence of RCN in obstetric AKI in developing countries has declined low enough to label it as a disappearing entity.

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Prolonged Oliguria with Survival in Acute Bilateral Cortical Necrosis

Cited by 20 publications

References 13 publications

Bilateral traumatic renal artery occlusion with survival after late reconstitution of arterial flow

Bilateral traumatic renal artery occlusion with survival after late reconstitution of arterial flow

Survival in renal cortical necrosis due to snake bite

Renal cortical necrosis is a disappearing entity in obstetric acute kidney injury in developing countries: our three decade of experience from India

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