PMC9911313_01
Initial computerized tomography (CT) angiography of the abdomen and pelvis. (A) Irregularity of the distal portion of the right renal artery with multifocal aneurysmal dilatation. (B) Slight narrowing at the proximal aspect of the splenic artery. (C) Irregularity and dilatation of the proximal aspect of the inferior mesenteric artery. (D) Heterogenous hypo-enhancement of the posterior aspect of the right kidney.
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FIG1
There was significant stenosis of the distal branch of the right renal artery resulting in renal parenchyma ischemia with heterogenous enhancement (Figure 1).
Repeat CT abdomen and pelvis angiography two months after discharge.. (A-C) Resolution of prior vascular irregularities of the left renal, splenic, and inferior mesenteric arteries. (D) Resolution of renal parenchymal hypo-enhancement.
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FIG2
At a three-month follow-up, the patient had a subsequent CT angiogram of the abdomen which showed resolution of the previous vascular irregularities and renal ischemia (Figure 2).