| Two Cases of Acute Renal Cortical Necrosis Diagnosed by Contrast-Enhanced Computerized Tomography |
| Ho-Young Lee, M.D., Byung-Hoo Lee, M.D., Moon-Soo Kang, M.D., Hyo-Wook Gil, M.D. Jong-Oh Yang, M.D., Eun-Young Lee, M.D. and Sae-Yong Hong, M.D. |
| Department of Internal Medicine, Cheonan Hospital, Soonchunhyang University, Cheonan, Korea |
| 증례 : 전산화 단층촬영으로 진단된 급성 신피질 괴사 2예 |
| 이호영 이병후 강문수 길효욱 양종오 이은영 홍세용 |
| 순천향대학교 천안병원 신장내과 |
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| Abstract |
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Renal cortical necrosis (RCN) is a relatively rare cause of acute renal failure. In the past, the incidence of RCN was more higher in obstetrical patients than in non-obstetric patients. But during the last 15 years, the prevalence of RCN in non-obstetric patients have overwhelmed the obstetrical patients.
Renal biopsy was an only gold standard diagnostic method for RCN in the past even though it was not performed frequently because of the serious clinical circumstances and coagulopathy generally accompanied by RCN, especially during the early period. Recently, contrast-enhanced computerized tomography was found to provide very characteristic representative findings. Therefore, the importance of contrast-enhanced computerized tomography as non-invasive diagnostic procedure during the initial phase of RCN is stressed. We report two cases of RCN which we have diagnosed early by using contrast-enhanced computerized tomography and treated by hemodialysis.
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| Key Words:
Renal cortical necrosis, Acute renal failure, Computerized tomography, X-ray |
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