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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. doi:10.1001/archinte.1967.00290240132012.
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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


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