CONTRAST-ENHANCED COMPUTED-TOMOGRAPHY FOR DEMONSTRATION OF BILATERAL RENAL CORTICAL NECROSIS

Bilateral renal cortical necrosis as a rare form of acute renal failur e was encountered in two patients with sepsis and acute renal failure. In both cases contrast-enhanced computed tomography showed characteri stic findings: absent spacification of the renal cortex and enhancemen t of subcapsular and juxtamedullary areas and of the medulla without e xcretion of contrast medium. Establishing an early diagnosis and visua lizing the extent of renal cortical necrosis by means of contrast-enha nced computed tomography allow a prognostic evaluation of renal functi on and further planning of therapy.