Acute tubular necrosis

Case contributed by Dr Morlie L Wang

Presentation

Patient went coronary angiogram 9 hours prior.

Patient Data

Age: 56
Gender: Male
Modality: CT

The kidneys have a mottled appearance containing multiple areas of high density striations.

Case Discussion

Bilateral 'striated nephrogram'  was the salient finding.

Differential diagnosis

  1. Acute tubular necrosis
  2. Acute pyelonephritis
  3. Hypotension

Final diagnosis: Acute tubular necrosis. Striated nephrogram in this case depicts contrast material trapped in necrosed tubules.

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Case Information

rID: 13301
Case created: 24th Mar 2011
Last edited: 18th Sep 2015
System: Urogenital
Inclusion in quiz mode: Excluded

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