Renal infarct secondary to aortic dissection

Case contributed by Dr Kabil kumar loganathan

Presentation

50 year old male patient, hypertensive presented with abdominal pain and hematuria.

Patient Data

Age: 50
Gender: Male
CT

CECT -Thorax and Abdomen

Axial post contrast CT study in arterial phase showing ascending aortic aneurysm (AP diameter of 6 cm). Dissection involving ascending aorta, descending thoracic and abdominal aorta (Stanford type A & De Bakey type 1) extending to the level of origin of inferior mesenteric artery is noted. Wedge shaped, cortical based non enhancing areas noted in portal venous phase involving bilateral kidneys with enhancing peripheral rim of cortical parenchyma suggestive of renal infarcts.

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Case information

rID: 38471
Case created: 21st Jul 2015
Last edited: 17th Jun 2017
Inclusion in quiz mode: Included

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