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June 1967

Renal Vascular Abnormalities in Acute Pancreatitis

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.

Arch Intern Med. 1967;119(6):610-616. doi:10.1001/archinte.1967.00290240132012

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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