PMC6682756_01
CT Scan of bilateral renal infarctions. CT scan of abdomen and pelvis with intravenous contrast (80cc of Omnipaque 350) showing wedge-shaped infarcts (arrows) of the bilateral kidneys.
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CT abdominal pelvis with IV contrast (Figure 1) revealed multiple segmental wedge shaped areas of non-enhancement suggesting pyelonephritis or infarction. A kidney ultrasound with Doppler flows revealed patent renal arteries but bilaterally decreased vascular flow in the upper and lower poles of kidneys corresponding with areas of CT hypoperfusion (Figure 2 and Table 1). Follow-up 14 days after discharge showed normalization of Cr, and a renal ultrasound with improved vascularity (Figure 2 and Table 1).
Kidney ultrasounds with doppler flow on admission and on follow-up.
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A kidney ultrasound with Doppler flows revealed patent renal arteries but bilaterally decreased vascular flow in the upper and lower poles of kidneys corresponding with areas of CT hypoperfusion (Figure 2 and Table 1). Follow-up 14 days after discharge showed normalization of Cr, and a renal ultrasound with improved vascularity (Figure 2 and Table 1).
Graph of serum Cr including baseline, admission, hospital, and follow-up.
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Cr started to downtrend by the next day and patient's pain improved (Figure 3).