Acute tubular necrosis with loin pain and persistent multiple wedge-shaped contrast enhancement on CT.
A 38-year-old man had severe loin pain and computed tomography performed 48 hours later, after drip infusion pyelography (DIP), revealed wedge-shaped contrast enhancement. He showed mild impairment of renal function with no evidence of rhabdomyolysis. The loin pain lasted for 5 days and the wedge-shaped contrast enhancement on CT persisted for 14 days and improved. The case was compatible with the new syndrome, loin pain and persistent wedge-shaped contrast enhancement on CT, proposed by Ishikawa et al (Nephron 27: 31, 1981).
Ozono
Y
Y
Second Department of Internal Medicine, Nagasaki University School of Medicine.
Harada
T
T
Ogawa
K
K
Kanamoto
Y
Y
Hara
K
K
D000328:Adult; D000428:Alcohol Drinking / Q000009:adverse effects; D000700:Analgesics / Q000009:adverse effects; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging*; D007683:Kidney Tubular Necrosis, Acute / Q000000981:diagnostic imaging* / Q000209:etiology; D008297:Male; D010146:Pain / Q000209:etiology*; D013577:Syndrome; D014057:Tomography, X-Ray Computed
D000700:Analgesics