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CASE REPORT
Year : 2022  |  Volume : 7  |  Issue : 1  |  Page : 37-40

Renal replacement therapy (hemodialysis) in acute pancreatitis with acute tubular necrosis following injury by a cricket ball


1 Critical Care Nephrology & Dialysis, Department of Pediatric Nephrology, Bangladesh Shishu (Children) Hospital & Institute, Dhaka, Bangladesh
2 Department of Pediatric Nephrology, Bangladesh Shishu (Children) Hospital & Institute, Dhaka, Bangladesh

Correspondence Address:
Dr. Tahmina Ferdaus
Critical Care Nephrology & Dialysis, Department of Pediatric Nephrology, Bangladesh Shishu (Children) Hospital & Institute, Dhaka
Bangladesh
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/pnjb.pnjb_11_22

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Acute pancreatitis (AP) with severe acute kidney injury (AKI) is rare in children and is associated with high morbidity and mortality rates. We report a case of a 12-year-old boy who presented with upper abdominal pain, vomiting, and anuria following injury by a cricket ball. After resuscitation and investigation of the child, AP with AKI was diagnosed. This severe AKI needs renal replacement therapy (RRT). RRT is used to augment normal kidney function to rapidly remove toxic metabolites. We obtained central vascular access which is appropriate for his body size. We prepared a dialysate solution containing standard bicarbonate-buffered dialysate. Priming the circuit with dilute packed red blood cells was done due to his low hematocrit level. A beneficial effect of using RRT to facilitate recovery of renal function to RRT independence and reduce the long-term risk of chronic kidney disease was observed when used as initial supportive modality. Ultrasound-guided renal biopsy reported acute tubular necrosis and it was performed after recovery from his critical period.


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