All issues > Volume 24(3); 1981

Case Report

J Korean Pediatr Soc. 1981;24(3):257-270. Published online March 15, 1981.

Hepatorenal Syndrome.

Kyo Sun Kim¹, Young Mo Sohn¹, Jung Soo Kim¹, Jae Seung Lee¹, Pyung Kil Kim¹, Tae Jung Kwon², In Jun Choi²

¹Department of Pediatrics, Yonset University College of Medicine
²Department of Pathology

Abstract

Hepatorenal syndrome is generally urged, at least until specific interrelationships between the two organs are confirmed by experimental and clinical data. Case I was a 11 year old boy, who had been suffered from acute fulminant viral hepatitis, which had developed acute hepatic necrosis associated with acute renal failure. Cass H was a 10 year old girl, who was performed corrective heart surgery for ASD, secondum type under Methoxyflurane anesthesia. Liver and kidney function just after operation decreased persistently. The patient deceased on the 11th postop. day. Necropsy findings of liver and kidney disclosed submassive central necrosis of liver and acute tubular necrosis, toxic type. Case III was a 17 year old boy who was performed corrective open heart surgery for TOF under the Halothane anesthesia. On the postop. 1st day, hepatocellular and renal dysfunction developed and peritoneal dialysis performed. He died on the postop. 3rd day. Liver and kidney necropsy material showed massive hemorrhagic necrosis and acute tubular necrosis,ischemic type.

Keywords :Hepatorenal syndrome