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- W755351932 abstract "The case is here reported of a thirty-two year-old multigravida without history of previous kidney disease, running a normal antepartum course with normal blood pressure and normal urinary findings, who delivered spontaneously after a short severe three-hour labor, a stillborn fetus and an abnormal placenta in the ninth month of her pregnancy. On the third day following delivery she developed signs of acute kidney failure with partial suppression of urine, a marked, probably compensatory, diaphoresis, a sudden rapid rise in the value of the blood metabolites, all without evidence of mechanical obstruction of the urinary tract, hypertension, edema, convulsions, or vomiting. Except for the fact that the suppression of urine was only partial and of short duration, this clinical picture parallels so closely that described in previously published case reports that a diagnosis of thrombosis of the intralobular arteries of the kidney with symmetrical necrosis of the kidney cortex followed by recovery may justifiably be made. The results of treatment have been uniformly discouraging. Early decapsulation has yielded as many deaths (3) as recoveries (3), but it is the only active therapeutic procedure available if colonic purgation, intravenous medication, rectal instillations, and sedation fail." @default.
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- W755351932 date "1934-04-01" @default.
- W755351932 modified "2023-09-27" @default.
- W755351932 title "Acute renal failure complicating pregnancy (symmetrical necrosis of the renal cortex)" @default.
- W755351932 doi "https://doi.org/10.1016/s0002-9378(34)90746-8" @default.
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