Renal artery embolism. Correlation with scintigraphic and radiographic findings.
The diagnosis of renal artery embolism should be considered in patients with cardiac disease who present with abdominal or flank pain in association with deteriorating renal function. Often the diagnosis is delayed or missed owing to the nonspecific, varied, and protean clinical manifestations. A case is presented of bilateral renal artery emboli, and initial and long-term scintigraphic and radiographic correlations are provided. Renal scintigraphy should be the initial study of choice. In addition, this procedure allows for sequential noninvasive evaluation of renal function.
Metter
D
D
Department of Radiology, Wilford Hall Medical Center, Lackland AFB, Texas.
Brown
A
A
Ramos-Gabatin
A
A
Gelormini
R
R
D000368:Aged; D001282:Atrial Flutter / Q000150:complications / Q000628:therapy; D004554:Electric Countershock; D004617:Embolism / Q000000981:diagnostic imaging* / Q000209:etiology; D006349:Heart Valve Diseases / Q000150:complications; D006801:Humans; D008297:Male; D015609:Organotechnetium Compounds; D011859:Radiography; D011877:Radionuclide Imaging; D012078:Renal Artery Obstruction / Q000000981:diagnostic imaging* / Q000209:etiology; D013400:Sugar Acids; D013997:Time Factors; D014463:Ultrasonography
D015609:Organotechnetium Compounds; D013400:Sugar Acids; C100014:technetium Tc 99m gluceptate