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. 2018 Mar 1;34(1):45–59. doi: 10.1007/s00467-018-3893-7

Table 2.

Causes of acute kidney injury in liver failure [6, 7, 11, 12, 2326, 28]

Causes of acute kidney injury (AKI) in liver failure
Functional causes
  • Pre-renal azotemia: volume responsive states include shock, dehydration, sepsis, decreased intake of fluids, excessive gastrointestinal losses including diarrhea, vomiting and gastrointestinal bleeding
  • HRS type 1 and 2: (volume unresponsive state): now called as HRS-AKI [12]
Structural causes
  • Intrinsic renal disease as acute tubular necrosis (ATN), tubulo-interstitial and glomerular diseases
  • Post-renal AKI—obstruction
 (Post-transplant AKI is a separate entity with multifactorial causation)

HRS, Hepatorenal syndrome; HRS-AKI, HRS type of AKI