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Renal Vascular Abnormalities in Acute Pancreatitis
Robert M. Vogel, MD;
Mary Keohane, MD
Arch Intern Med. 1967;119(6):610-616.
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ACUTE renal failure is an unusual manifestation of acute pancreatitis.1-3 When renal failure does occur, it is almost invariably due to acute tubular necrosis or renal cortical necrosis. This report presents a patient with acute pancreatitis and acute renal failure due to bilateral renal artery thrombosis. In addition, three patients are presented with unilateral abnormalities demonstrated by intravenous pyelogram (IVP) during acute pancreatitis and the significance of this association is discussed.
Report of Cases
CASE 1 (WHVAH No. A7937).
—A 40-year-old white male alcoholic was admitted because of ankle edema of one month's duration. During this time he had dyspnea on moderate exertion but no orthopnea or paroxysmal nocturnal dyspnea. There was no chest pain or a previous history of heart disease. He denied recent sore throat, fever or chills, or previous kidney disease. Of note was the presence of intermittent cramping pain in the lower abdomen over the
. . . [Full Text PDF of this Article]
Author Affiliations
West Haven, Conn
From the departments of internal medicine and radiology, Veterans Administration Hospital, West Haven, and the Yale University School of Medicine, New Haven. Dr. Vogel is currently a Fellow in Gastroenterology, Yale University School of Medicine.
Footnotes
Received for publication, Aug 30, 1966; accepted Dec 7.
Reprint requests to Department of Internal Medicine, Yale University School of Medicine, 333 Cedar St, New Haven, Conn 06504 (Dr. Vogel).
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