August 8, 1953

Renal Cortical Necrosis and the Kidney of Concealed Accidental Haemorrhage.

JAMA. 1953;152(15):1490. doi:10.1001/jama.1953.03690150094027

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Renal cortical necrosis is a rare, though serious, condition seen frequently after an obstetric complication variously called premature separation of the placenta, abruptio placenta, or uteroplacental apoplexy. In all instances the fetus is killed by the hemorrhage within the uterus, and too frequently the mother dies of renal cortical necrosis from spasm of the renal vessels. In the past there have been several conjectures as to the cause of the condition; this led the authors to make a careful study of 67 autopsied cases.

The results of pathological examination of the kidneys and other organs in the 67 cases form the basis of the book. In many instances the autopsy was performed within two to five hours after death, and special precautions were taken to minimize the effects of pressure or distortion in removal of the organs. There are a number of excellent photomicrographs of kidney sections showing all stages

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