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Renal Infarct
Jade Wong-You-Cheong, MBChB, MRCP, FRCR, FSRU, FSAR
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Diagnostic Checklist

          TERMINOLOGY

          • Synonyms

            • Renal infarct, focal ischemia
          • Definitions

            • Global or focal renal hypoperfusion → tissue ischemia and, eventually, parenchymal loss

          IMAGING

          • General Features

            • Ultrasonographic Findings

              • CT Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Staging, Grading, & Classification

                        • Gross Pathologic & Surgical Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    • Image Interpretation Pearls

                                      Selected References

                                      1. Quaia E et al: Gray scale ultrasound, color doppler ultrasound, and contrast-enhanced ultrasound in renal parenchymal diseases. Ultrasound Q. 34(4):250-67, 2018
                                      2. Oh YK et al: Clinical characteristics and outcomes of renal infarction. Am J Kidney Dis. 67(2):243-50, 2016
                                      3. Harvey CJ et al: Role of US contrast agents in the assessment of indeterminate solid and cystic lesions in native and transplant kidneys. Radiographics. 35(5):1419-30, 2015
                                      4. Piccoli GB et al: Renal infarction versus pyelonephritis in a woman presenting with fever and flank pain. Am J Kidney Dis. 64(2):311-4, 2014
                                      5. Stenberg B et al: Post-operative 3-dimensional contrast-enhanced ultrasound (CEUS) versus Tc99m-DTPA in the detection of post-surgical perfusion defects in kidney transplants - preliminary findings. Ultraschall Med. 35(3):273-8, 2014
                                      6. Antopolsky M et al: Renal infarction in the ED: 10-year experience and review of the literature. Am J Emerg Med. 30(7):1055-60, 2012
                                      7. Bertolotto M et al: Value of contrast-enhanced ultrasonography for detecting renal infarcts proven by contrast enhanced CT. A feasibility study. Eur Radiol. 18(2):376-83, 2008
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Pathology

                                            • Diagnostic Checklist

                                              TERMINOLOGY

                                              • Synonyms

                                                • Renal infarct, focal ischemia
                                              • Definitions

                                                • Global or focal renal hypoperfusion → tissue ischemia and, eventually, parenchymal loss

                                              IMAGING

                                              • General Features

                                                • Ultrasonographic Findings

                                                  • CT Findings

                                                    • Imaging Recommendations

                                                      DIFFERENTIAL DIAGNOSIS

                                                        PATHOLOGY

                                                        • General Features

                                                          • Staging, Grading, & Classification

                                                            • Gross Pathologic & Surgical Features

                                                              CLINICAL ISSUES

                                                              • Presentation

                                                                • Demographics

                                                                  • Natural History & Prognosis

                                                                    • Treatment

                                                                      DIAGNOSTIC CHECKLIST

                                                                      • Consider

                                                                        • Image Interpretation Pearls

                                                                          Selected References

                                                                          1. Quaia E et al: Gray scale ultrasound, color doppler ultrasound, and contrast-enhanced ultrasound in renal parenchymal diseases. Ultrasound Q. 34(4):250-67, 2018
                                                                          2. Oh YK et al: Clinical characteristics and outcomes of renal infarction. Am J Kidney Dis. 67(2):243-50, 2016
                                                                          3. Harvey CJ et al: Role of US contrast agents in the assessment of indeterminate solid and cystic lesions in native and transplant kidneys. Radiographics. 35(5):1419-30, 2015
                                                                          4. Piccoli GB et al: Renal infarction versus pyelonephritis in a woman presenting with fever and flank pain. Am J Kidney Dis. 64(2):311-4, 2014
                                                                          5. Stenberg B et al: Post-operative 3-dimensional contrast-enhanced ultrasound (CEUS) versus Tc99m-DTPA in the detection of post-surgical perfusion defects in kidney transplants - preliminary findings. Ultraschall Med. 35(3):273-8, 2014
                                                                          6. Antopolsky M et al: Renal infarction in the ED: 10-year experience and review of the literature. Am J Emerg Med. 30(7):1055-60, 2012
                                                                          7. Bertolotto M et al: Value of contrast-enhanced ultrasonography for detecting renal infarcts proven by contrast enhanced CT. A feasibility study. Eur Radiol. 18(2):376-83, 2008