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Renal infarction

Case contributed by Naqibullah Foladi
Diagnosis certain

Presentation

Ill patient with acute abdominal pain.

Patient Data

Age: 55 years
Gender: Male
ct

There is a luminal filling defect in the mid part of the right renal artery extending to distal parts with proximal contrast accumulation. Perfusion defect is noted in the right renal parenchyma evident by complete renal non-enhancement.
Perinephric fat stranding is noted.
Right renal size is preserved.
Cystic lesion with internal fluid content in the interpolar of left kidney measuring. No internal solid component or septation. (Bosniak Type I)
Bilateral mild pleural effusion.
Mild pericardial effusion is seen with 21 mm in its maximal thickness. Cardiac chambers appear dilated.

Case Discussion

Features are of acute thromboembolism in the right renal artery causing right renal infarction. Additional findings of pericardial effusion and bilateral mild pleural effusion.

 

Additional contributor: Dr. M.M.S. Hoshang

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