Acute Renal Failure as a Complication of Acute Pancreatitis

1 October 1959

journal article
research article
Published by American Medical Association (AMA) in Archives of internal medicine (1960)

Vol. 104 (4) , 539-543
https://doi.org/10.1001/archinte.1959.00270100025005

Abstract

It is the purpose of this paper to emphasize the not infrequent occurrence of acute renal failure complicating acute hemorrhagic pancreatitis. Basic texts ^1-6 and recent review articles ^7-12 on pancreatitis make no mention of acute renal failure as a potential complication. Actual survey of the literature reveals very few reports of this combination of severe diseases. Lucke¹³ listed acute pancreatitis among the miscellaneous causes of "lower nephron nephrosis" but did not elaborate further. A review of 22 cases of "renal anoxia syndrome," by Gaberman et al.¹⁴ included two which followed acute pancreatitis; Varay¹⁵ reported a single case and referred to three others. Swan and Merrill listed acute pancreatitis as the cause of one of 85 cases of acute renal failure.¹⁶ Lynch ¹⁷ described pathologic lesions of renal tubular necrosis (attributed by him to microscopic fat-droplet emboli) in six cases of pancreatitis, but antemortem acute renal failure

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