Korean J Nephrol.  2010 Mar;29(2):265-269.

Complete Recovery of Renal Function in Bilateral Renal Cortical Necrosis: A Case Report

• Ryu BK
• Cho JY
• Baek JH
• Chung JH
• Kim HL

Abstract

Acute bilateral renal cortical necrosis (BRCN) is a rare cause of renal failure. It has been reported that contrast-enhanced computed tomography provides characteristic findings of BRCN which correlates well with the histopathology making it an important non-invasive diagnostic modality during early phase of BRCN, improving survival rate and prognosis with early diagnosis and treatment. This report presents a case of 73-year old woman with BRCN due to hemolytic uremic syndrome. The patient recovered from anuria and showed complete recovery to normal renal function of her age and serum creatinine level after early initiation of hemodialysis. Furthermore, a normal radiologic finding of kidney was obtained after 52 days from onset of the disease by contrast-enhanced computed tomography. At present, she is preserved within the normal range renal function without renal replacement therapy.

Keyword

Renal cortical necrosis; Bilateral; Kidney failure; Acute

MeSH Terms

Anuria
Creatinine
Early Diagnosis
Female
Hemolytic-Uremic Syndrome
Humans
Kidney
Kidney Cortex Necrosis
Prognosis
Reference Values
Renal Dialysis
Renal Insufficiency
Survival Rate
Creatinine