title: Purtscher's retinopathy and renal cortical necrosis: two rare vaso-occlusive complications in a patient with acute pancreatitis: a case report.
abstract: BACKGROUND
  Purtscher's retinopathy and renal cortical necrosis are two rare vaso-occlusive complications of acute pancreatitis. Purtscher's retinopathy causes sudden impairment of vision, which was first reported in a patient with head trauma. Subsequently, it was also reported as a complication of acute pancreatitis and few other clinical conditions. Acute pancreatitis also rarely causes renal cortical necrosis leading to acute kidney injury. However, the simultaneous presence of both complications is rarely reported.
  
  
  METHODS
  A 20-year-old Bengali man presented to our hospital with a history of acute upper abdominal pain, vomiting, anuria, and disorientation. He was ultimately found to have bilateral complete blindness due to Purtscher's retinopathy and acute kidney injury due to renal cortical necrosis, as sequelae of acute pancreatitis. He became dialysis-dependent, his vision did not recover, and he died 16 months after diagnosis.
  
  
  CONCLUSIONS
  This case highlights Purtscher's retinopathy and renal cortical necrosis might be considered as a recognized pair complication of acute pancreatitis.
authors.affiliation: Department of Nephrology and Dialysis, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM) General Hospital, Shahbag, Dhaka, 1000, Bangladesh. wmmhaque@live.com.
authors.forename: Wasim Md Mohosin Ul
authors.initials: WM
authors.lastname: Haque
authors.affiliation: Department of Nephrology and Dialysis, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM) General Hospital, Shahbag, Dhaka, 1000, Bangladesh.
authors.forename: Mehruba Alam
authors.initials: MA
authors.lastname: Ananna
authors.affiliation: Department of Internal Medicine, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM) General Hospital, Shahbag, Dhaka, 1000, Bangladesh.
authors.forename: Hasna Fahmima
authors.initials: HF
authors.lastname: Haque
authors.affiliation: Department of Nephrology and Dialysis, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM) General Hospital, Shahbag, Dhaka, 1000, Bangladesh.
authors.forename: Muhammad Abdur
authors.initials: MA
authors.lastname: Rahim
authors.affiliation: Department of Nephrology and Dialysis, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM) General Hospital, Shahbag, Dhaka, 1000, Bangladesh.
authors.forename: Tabassum
authors.initials: T
authors.lastname: Samad
authors.affiliation: Department of Nephrology and Dialysis, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM) General Hospital, Shahbag, Dhaka, 1000, Bangladesh.
authors.forename: Sarwar
authors.initials: S
authors.lastname: Iqbal
mesh_terms: D000208:Acute Disease; D000328:Adult; D001766:Blindness / Q000473:pathology*; D017809:Fatal Outcome; D006801:Humans; D007673:Kidney Cortex Necrosis / Q000209:etiology / Q000473:pathology*; D008297:Male; D010195:Pancreatitis / Q000150:complications / Q000473:pathology*; D012164:Retinal Diseases / Q000209:etiology / Q000473:pathology* / Q000503:physiopathology
keywords: Acute kidney injury; Acute pancreatitis; Blindness; Case report; Purtscher’s retinopathy; Renal cortical necrosis