活体肾供体的肾皮质坏死。

Renal cortical necrosis in a live kidney donor.

作者信息

Prakash J, Srivastava A, Singh S, Ghosh B

机构信息

Department of Nephrology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.

出版信息

Indian J Nephrol. 2012 Jan;22(1):48-51. doi: 10.4103/0971-4065.83747.

DOI:10.4103/0971-4065.83747

PMID:22279344

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3263064/

Abstract

Renal cortical necrosis (RCN) is a rare cause of acute renal failure (ARF). There is no clinical case report of RCN in a live kidney donor. A 48-year-old female kidney donor developed sudden anuria five hours postnephrectomy and remained anuric for more than three months on maintenance hemodialysis. Laboratory investigations revealed the features of hemolytic uremic syndrome. Contrast-enhanced computed tomography scan of abdomen showed hypoattenuated subcapsular rim of renal cortex favoring diagnosis of RCN. To the best of our knowledge, this is the first clinical case report of RCN in a live kidney donor in world literature.

摘要

肾皮质坏死（RCN）是急性肾衰竭（ARF）的罕见病因。活体肾供体中尚无RCN的临床病例报告。一名48岁的女性肾供体在肾切除术后5小时突然无尿，在维持性血液透析下无尿状态持续了三个多月。实验室检查显示有溶血尿毒综合征的特征。腹部增强计算机断层扫描显示肾皮质包膜下边缘低密度，支持RCN的诊断。据我们所知，这是世界文献中首例活体肾供体RCN的临床病例报告。