Association of splenic and renal infarctions in acute abdominal emergencies

Romano, Stefania; Scaglione, Mariano; Gatta, Gianluca; Lombardo, Patrizia; Stavolo, Ciro; Romano, Luigia; Grassi, Roberto

doi:10.1016/j.ejrad.2003.11.014

Cited by 27 publications

(16 citation statements)

References 15 publications

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“…Romano et al., reported the prevalence of combination of splenic and renal infarctions was 11.9% (17). Relative to previous reports, our study identified higher rates of concurrent events in both trauma and non‐trauma patients, particularly in those with VHD and dilated cardiomyopathy.…”

Section: Discussionmentioning

confidence: 99%

Acute renal infarction: a 10-year experience

Tsai¹,

Chu²,

Chen³

et al. 2007

International Journal of Clinical Practice

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The diagnosis of acute renal infarction (ARI) is often delayed or unrecognised because of its non-specific presentation and the rarity of the disease. We evaluated the clinical presentations, laboratory findings, underlying medical conditions and treatment of 18 Chinese patients with ARI who presented to the emergency department (ED) of a tertiary teaching hospital from 1995 to 2004. We identified 14 non-trauma and four trauma patients with ARI. The mean duration from the onset of symptoms to the diagnosis of ARI was 1.9 days. The prevalence of concurrent events was 39%. About 64.5% of non-trauma patients had histories of atrial fibrillation, structural heart diseases or previous embolic events. The laboratory characteristics were neither specific nor sensitive for the diagnosis of ARI. Conservative treatment, local intra-arterial thrombolytic and i.v. thrombolytic therapies were provided in nine, five and two patients respectively. Decreased effective renal plasma flow in affected kidneys was found in three of three patients. Serum creatinine (Cr) was normal or elevated not more than 25% of baseline in 16 cases. ARI may resemble many non-renal diseases; however, repeated evaluation and a high index of suspicion are required for early diagnosis. Concurrent injuries or thromboembolism in other foci should be noticed. Early contrast-enhanced computerized tomography scan should be considered for high-risk patients. Patients with ARI should be followed by functional studies rather than serum Cr level.

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Section: Discussionmentioning

confidence: 99%

Acute renal infarction: a 10-year experience

Tsai¹,

Chu²,

Chen³

et al. 2007

International Journal of Clinical Practice

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“…Se descartaron 3 artículos por tener solo diagnósticos postmorten o por diagnósticos solo basados en datos clínicos y pielografía 1,6,7 . Tres series por solo incluir infartos renales de 1 etiología, siete porque no incluían el estudio etiológico y uno porque había una publicación posterior del mismo hospital que incluía los mismos casos 2,[8][9][10][11][12][13][14][15][16][17] (Figura 1).…”

Section: Análisis De Datosunclassified

Etiología del infarto renal. Revisión sistemática de 1.582 casos de la literatura

Pizzarossa¹,

Mérola²

2019

Rev. méd. Chile

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Etiology of renal infarction. A systematic review Background: Renal infarction is a rare and usually underdiagnosed entity. Aim: To study the etiology of renal infarction in published series. Material and Methods: A systematic review was carried out selecting 28 series that included 1582 patients. Results: The proposed cause was cardiac or aortic embolism in 718 cases (45%), an arterial injury in 253 (16%), prothrombotic factors in 146 (9%) and other causes in 79 (5%). 291 cases were classified as idiopathic (18.4%). Atrial fibrillation was present in 542 of the 718 patients with cardiac or aortic embolism. Conclusions: The main cause of renal infarction is cardiac or aortic embolism and among this group, most cases are due to atrial fibrillation. One out of five cases is labeled as idiopathic.

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“…In the past diagnosis of ischaemic lesion was domain of contrast enhanced CT [25,33] or contrast enhanced MRI. However, CT and MRI are connected with risk of CIN (contrast induced nephropathy) and NSF, respectively.…”

Section: Discussionmentioning

confidence: 99%

Benefit of contrast enhanced ultrasound for detection of ischaemic lesions and arterio venous fistulas in renal transplants – A feasibility study

Helck

Sommer

Notohamiprodjo

et al. 2011

Clinical Hemorheology and Microcirculation

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Purpose: To evaluate the benefit of CEUS (contrast enhanced ultrasound) regarding depiction of ischaemic lesions and AVFs (arterio venous fistula) in renal transplants compared to standard ultrasound (US) (grey-scale and color Doppler).Materials and methods: In this study 22 patients suspected of having acute vascular complication after renal transplantation were investigated using standard ultrasound (grey-scale US and color Doppler US) and CEUS, respectively. Validity of the respective US-techniques regarding depiction of ischaemic lesions and AVF was compared. Dynamic CTA (computed tomography angiography) served as the standard of reference.Results: In 10 renal transplants arterial embolism associated with kidney infarctions were observed. Very good correlation to dynamic CTA was yielded using CEUS, whereas grey scale US and color Doppler US was limited in the accurate depiction of renal infarctions. Additionally CEUS was superior in displaying arteriovenous fistulas compared to standard US.Conclusion: CEUS as a fast and bedside available imaging modality not associated with dose exposure or renal toxicity facilitates improved detection of ischaemic lesions and AVFs compared to standard US and thus should be considered for short term follow up of renal transplants.

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Association of splenic and renal infarctions in acute abdominal emergencies

Cited by 27 publications

References 15 publications

Acute renal infarction: a 10-year experience

Acute renal infarction: a 10-year experience

Etiología del infarto renal. Revisión sistemática de 1.582 casos de la literatura

Benefit of contrast enhanced ultrasound for detection of ischaemic lesions and arterio venous fistulas in renal transplants – A feasibility study

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