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Renal Infarction
Amir A. Borhani, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          TERMINOLOGY

          • Definitions

            • Localized or global area of ischemic necrosis in kidney secondary to interrupted vascular supply
              • Majority of cases are secondary to sudden occlusion of arterial supply

          IMAGING

          • General Features

            • Fluoroscopic Findings

              • CT Findings

                • MR Findings

                  • Ultrasonographic Findings

                    • Angiographic Findings

                      • Nuclear Medicine Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              • Staging, Grading, & Classification

                                • Gross Pathologic & Surgical Features

                                  • Microscopic Features

                                    CLINICAL ISSUES

                                    • Presentation

                                      • Demographics

                                        • Natural History & Prognosis

                                          • Treatment

                                            DIAGNOSTIC CHECKLIST

                                            • Consider

                                              • Image Interpretation Pearls

                                                Selected References

                                                1. Gavalas M et al: Renal Infarction Complicating Fibromuscular Dysplasia. Vasc Endovascular Surg. ePub, 2014
                                                2. Lucewicz A et al: Torsion of intraperitoneal kidney transplant. ANZ J Surg. 82(5):299-302, 2012
                                                3. Kang KP et al: Renal infarction resulting from traumatic renal artery dissection. Korean J Intern Med. 23(2):103-5, 2008
                                                4. Park BK et al: Imaging features of gray-scale and contrast-enhanced color Doppler US for the differentiation of transient renal arterial ischemia and arterial infarction. Korean J Radiol. 6(3):179-84, 2005
                                                5. Romano S et al: Association of splenic and renal infarctions in acute abdominal emergencies. Eur J Radiol. 50(1):48-58, 2004
                                                6. Kawashima A et al: Imaging evaluation of posttraumatic renal injuries. Abdom Imaging. 27(2):199-213, 2002
                                                7. Schreyer HH et al: Helical CT of the urinary organs. Eur Radiol. 12(3):575-91, 2002
                                                8. Suzer O et al: CT features of renal infarction. Eur J Radiol. 44(1):59-64, 2002
                                                9. Kaushik S et al: Abdominal thrombotic and ischemic manifestations of the antiphospholipid antibody syndrome: CT findings in 42 patients. Radiology. 218(3):768-71, 2001
                                                10. Kawashima A et al: Imaging of renal trauma: a comprehensive review. Radiographics. 21(3):557-74, 2001
                                                11. Kawashima A et al: CT evaluation of renovascular disease. Radiographics. 20(5):1321-40, 2000
                                                12. Carey HB et al: Bilateral renal infarction secondary to paradoxical embolism. Am J Kidney Dis. 34(4):752-5, 1999
                                                13. Dalla-Palma L et al: Delayed CT in acute renal infection. Semin Ultrasound CT MR. 18(2):122-8, 1997
                                                14. Kawashima A et al: CT of renal inflammatory disease. Radiographics. 17(4):851-66; discussion 867-8, 1997
                                                15. Kamel IR et al: Assessment of the cortical rim sign in posttraumatic renal infarction. J Comput Assist Tomogr. 20(5):803-6, 1996
                                                16. Krinsky G: Unenhanced helical CT in patients with acute flank pain and renal infarction: the need for contrast material in selected cases. AJR Am J Roentgenol. 167(1):282-3, 1996
                                                17. Nunez D Jr et al: Traumatic occlusion of the renal artery: helical CT diagnosis. AJR Am J Roentgenol. 167(3):777-80, 1996
                                                18. Saunders HS et al: The CT nephrogram: implications for evaluation of urinary tract disease. Radiographics. 15(5):1069-85; discussion 1086-8, 1995
                                                19. Levine E: Acute renal and urinary tract disease. Radiol Clin North Am. 32(5):989-1004, 1994
                                                20. Kim SH et al: Infarction of the kidney: role of contrast enhanced MRI. J Comput Assist Tomogr. 16(6):924-8, 1992
                                                21. Fanney DR et al: CT in the diagnosis of renal trauma. Radiographics. 10(1):29-40, 1990
                                                22. Ishikawa I et al: Magnetic resonance imaging in renal infarction and ischemia. Nephron. 51(1):99-102, 1989
                                                23. Sant GR et al: Computed tomography in evaluation of blunt renal trauma. Potential for misdiagnosis of renal infarction. Urol Int. 43(6):321-3, 1988
                                                24. Bankoff MS et al: Computed tomography differentiation of pyelonephritis and renal infarction. J Comput Tomogr. 8(3):239-43, 1984
                                                25. Wong WS et al: Renal infarction: CT diagnosis and correlation between CT findings and etiologies. Radiology. 150(1):201-5, 1984
                                                26. Haaga JR et al: CT appearance of renal infarct. J Comput Assist Tomogr. 4(2):246-7, 1980
                                                Related Anatomy
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                                                Related Differential Diagnoses
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                                                References
                                                Tables

                                                Tables

                                                KEY FACTS

                                                • Terminology

                                                  • Imaging

                                                    • Top Differential Diagnoses

                                                      • Pathology

                                                        TERMINOLOGY

                                                        • Definitions

                                                          • Localized or global area of ischemic necrosis in kidney secondary to interrupted vascular supply
                                                            • Majority of cases are secondary to sudden occlusion of arterial supply

                                                        IMAGING

                                                        • General Features

                                                          • Fluoroscopic Findings

                                                            • CT Findings

                                                              • MR Findings

                                                                • Ultrasonographic Findings

                                                                  • Angiographic Findings

                                                                    • Nuclear Medicine Findings

                                                                      • Imaging Recommendations

                                                                        DIFFERENTIAL DIAGNOSIS

                                                                          PATHOLOGY

                                                                          • General Features

                                                                            • Staging, Grading, & Classification

                                                                              • Gross Pathologic & Surgical Features

                                                                                • Microscopic Features

                                                                                  CLINICAL ISSUES

                                                                                  • Presentation

                                                                                    • Demographics

                                                                                      • Natural History & Prognosis

                                                                                        • Treatment

                                                                                          DIAGNOSTIC CHECKLIST

                                                                                          • Consider

                                                                                            • Image Interpretation Pearls

                                                                                              Selected References

                                                                                              1. Gavalas M et al: Renal Infarction Complicating Fibromuscular Dysplasia. Vasc Endovascular Surg. ePub, 2014
                                                                                              2. Lucewicz A et al: Torsion of intraperitoneal kidney transplant. ANZ J Surg. 82(5):299-302, 2012
                                                                                              3. Kang KP et al: Renal infarction resulting from traumatic renal artery dissection. Korean J Intern Med. 23(2):103-5, 2008
                                                                                              4. Park BK et al: Imaging features of gray-scale and contrast-enhanced color Doppler US for the differentiation of transient renal arterial ischemia and arterial infarction. Korean J Radiol. 6(3):179-84, 2005
                                                                                              5. Romano S et al: Association of splenic and renal infarctions in acute abdominal emergencies. Eur J Radiol. 50(1):48-58, 2004
                                                                                              6. Kawashima A et al: Imaging evaluation of posttraumatic renal injuries. Abdom Imaging. 27(2):199-213, 2002
                                                                                              7. Schreyer HH et al: Helical CT of the urinary organs. Eur Radiol. 12(3):575-91, 2002
                                                                                              8. Suzer O et al: CT features of renal infarction. Eur J Radiol. 44(1):59-64, 2002
                                                                                              9. Kaushik S et al: Abdominal thrombotic and ischemic manifestations of the antiphospholipid antibody syndrome: CT findings in 42 patients. Radiology. 218(3):768-71, 2001
                                                                                              10. Kawashima A et al: Imaging of renal trauma: a comprehensive review. Radiographics. 21(3):557-74, 2001
                                                                                              11. Kawashima A et al: CT evaluation of renovascular disease. Radiographics. 20(5):1321-40, 2000
                                                                                              12. Carey HB et al: Bilateral renal infarction secondary to paradoxical embolism. Am J Kidney Dis. 34(4):752-5, 1999
                                                                                              13. Dalla-Palma L et al: Delayed CT in acute renal infection. Semin Ultrasound CT MR. 18(2):122-8, 1997
                                                                                              14. Kawashima A et al: CT of renal inflammatory disease. Radiographics. 17(4):851-66; discussion 867-8, 1997
                                                                                              15. Kamel IR et al: Assessment of the cortical rim sign in posttraumatic renal infarction. J Comput Assist Tomogr. 20(5):803-6, 1996
                                                                                              16. Krinsky G: Unenhanced helical CT in patients with acute flank pain and renal infarction: the need for contrast material in selected cases. AJR Am J Roentgenol. 167(1):282-3, 1996
                                                                                              17. Nunez D Jr et al: Traumatic occlusion of the renal artery: helical CT diagnosis. AJR Am J Roentgenol. 167(3):777-80, 1996
                                                                                              18. Saunders HS et al: The CT nephrogram: implications for evaluation of urinary tract disease. Radiographics. 15(5):1069-85; discussion 1086-8, 1995
                                                                                              19. Levine E: Acute renal and urinary tract disease. Radiol Clin North Am. 32(5):989-1004, 1994
                                                                                              20. Kim SH et al: Infarction of the kidney: role of contrast enhanced MRI. J Comput Assist Tomogr. 16(6):924-8, 1992
                                                                                              21. Fanney DR et al: CT in the diagnosis of renal trauma. Radiographics. 10(1):29-40, 1990
                                                                                              22. Ishikawa I et al: Magnetic resonance imaging in renal infarction and ischemia. Nephron. 51(1):99-102, 1989
                                                                                              23. Sant GR et al: Computed tomography in evaluation of blunt renal trauma. Potential for misdiagnosis of renal infarction. Urol Int. 43(6):321-3, 1988
                                                                                              24. Bankoff MS et al: Computed tomography differentiation of pyelonephritis and renal infarction. J Comput Tomogr. 8(3):239-43, 1984
                                                                                              25. Wong WS et al: Renal infarction: CT diagnosis and correlation between CT findings and etiologies. Radiology. 150(1):201-5, 1984
                                                                                              26. Haaga JR et al: CT appearance of renal infarct. J Comput Assist Tomogr. 4(2):246-7, 1980