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Obstetrics & Gynecology 1976;47:40
© 1976 by The American College of Obstetricians and Gynecologists
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Recovery After Prolonged Anuria Following Septic Abortion

DIMITRIOS S. EMMANOUEL, MD and MARSHALL D. LINDHEIMER, MD, FACP, FACOG

From the Departments of Medicine and Obstetrics and Gynecology in the Division of Biological Sciences of the University of Chicago Pritzker School or Medicine. Chicago. Illinois.

After a criminal abortion, a 21-year-old woman developed clostridial sepsis, massive hemolysis, shock, and protracted renal failure. Anuria was present for 3 weeks and hemodialysis was required for 35 days. Because of the prolonged anuria, the patient was thought to have irreversible renal cortical necrosis. A renal biopsy demonstrated tubular necrosis only. Shortly after the biopsy procedure, urinary volumes began to increase, and renal function gradually returned to normal levels. This case demonstrates that a protracted course of renal failure following clostridial infection is not necessarily due to cortical necrosis but may result from tubular necrosis, and renal function may return to normal.







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