Author:
Akl Ahmed,Al-Khatib Nour R,Awil Al Ali,Al-Shobaki Renad,M Bazarah Salem,Hamad Nabih,Tushkandi Wail
Abstract
Cholemic nephrosis or yellow kidneys, is a rare condition and can be associated with acute kidney injury secondary to various etiologies. We are reporting a difficult case presented with fatal severe sepsis associated with hepatic, pancreatic and renal injury secondary to impacted biliary stone at the ampulla of vater and complicated by infection. With proper management and early drainage of biliary system and continuous renal replacement therapy the patient survived. The early recognition and interference leads to reversal of symptoms and improvement of renal and patient survival.