All issues > Volume 34(6); 1991

Original Article

J Korean Pediatr Soc. 1991;34(6):863-868. Published online June 30, 1991.

Acute renal failure with back pain after exercise.

Hae Jung Park¹, Mi Jung Kim¹, Dong Kyu Jin¹, Hae Il Cheong¹, Yong Choi¹, Kwang Wook Ko¹, Jung Mi Park², Kyung Mo Yeun²

¹Department of Pediatrics, Seoul National University, College of Medicine, Seoul, Korea
²Department of Diagnostic Radiology

Received: September 29, 1990;  Accepted: November 29, 1990.

Abstract

We have experienced one case of acute renal failure without clinical rhabdomyolysis characterized by preceding exercise and back pain. This patient showed patch renal increased uptakes in bone scan with 99mTechnetium-methylene diphosphonate, and delayed wedge-shaped contrast enhancements in renal computed tomography. These findings can be explained by focal renal vasoconstriction of interlobar arteries or arcuate arteries, which may be considered as one of the pathophysiologic mechanisms of acute renal failure.

Keywords :Acute renal failure;Exercise;Back pain;Focal renal vasoconstriction