Ewha Med J.  1998 Mar;21(1):3-6. 10.12771/emj.1998.21.1.3.

A Case of Acute Renal Failure due to Acute Bilateral Renal Cortical Necrosis

• Lee EY
• Choi GB
• Kang DH
• Yoon KI

• KMID: 1964404
• DOI: http://doi.org/10.12771/emj.1998.21.1.3

Abstract

Acute bilateral renal cortical necrosis is a rare cause of acute reanl failure, occuring in about 2% of patients and it's prognosis is fatal. The pathophysiology of this condition is complex, but ultimately leads to the destruction of the renal cortex with sparing of the renal medulla and a thin tissue rim of under the capsule. In this report we describe a 23-year-old female patient in whom the diagnosis was made using MR imaging during the acute initial phase of the disease. On T1-weighted images, the signal intensity of the renal cortex was increased, but the signal intensity of the renal cortex was demarcated by a rim of low signal intensity in the region of the corticomedullary junction. MR imaging is useful, noninvasive, and specific modality for an early diagnosis of acute bilateral renal cortical necrosis.

Keyword

Acute bilateral renal cortical necrosis

MeSH Terms

Acute Kidney Injury*
Diagnosis
Early Diagnosis
Female
Humans
Kidney Cortex Necrosis*
Magnetic Resonance Imaging
Prognosis
Young Adult