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Russell E. Randall, Jr., MD; Juan C. Martinez Landaburu, MD; Melvin A. Mackler, MD

JAMA. 1970;213(10):1679-1681.

Abstract
Acute renal failure occurred in three volunteers who received abdominal compression from a rescue rope. The clinical course was characterized by oliguria and moderate azotemia which lasted four to five days followed by an early and dramatic diuresis with rapid recovery. It is presumed that sudden increased abdominal and renal vein hypertension produced renal interstitial edema, hemorrhage, and localized tubular necrosis.

Author Affiliations
From the Department of Medicine and the Division of Urology, Medical College of Virginia, Health Sciences Division, Virginia Commonwealth University, Richmond.

Footnotes
Reprint requests to Box 102, Medical College of Virginia, Richmond, Va 23219 (Dr. Randall).

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