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Renal Papillary Necrosis
Michael P. Federle, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Abbreviations

              • Renal papillary necrosis (RPN)
            • Definitions

              • Necrosis of renal papilla within medulla secondary to interstitial nephritis or ischemia

            IMAGING

            • General Features

              • IVP, CT Urography Findings

                • CT Findings

                  • Ultrasonographic Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Schroeder J et al: Magnetic resonance urography of renal papillary necrosis. Pediatr Radiol. 44(4):491-3, 2014
                                        2. Balci A et al: Prevalence of abdominal ultrasonographic abnormalities in patients with sickle cell disease. Diagn Interv Radiol. 14(3):133-7, 2008
                                        3. Prasad SR et al: Segmental disorders of the nephron: histopathological and imaging perspective. Br J Radiol. 80(956):593-602, 2007
                                        4. Jung DC et al: Renal papillary necrosis: review and comparison of findings at multi-detector row CT and intravenous urography. Radiographics. 26(6):1827-36, 2006
                                        5. Dyer RB et al: Classic signs in uroradiology. Radiographics. 24 Suppl 1:S247-80, 2004
                                        6. Segasothy M et al: Computed tomography and ultrasonography: a comparative study in the diagnosis of analgesic nephropathy. Nephron. 66(1):62-6, 1994
                                        7. Hoffman JC et al: Demonstration of renal papillary necrosis by sonography. Radiology. 145(3):785-7, 1982
                                        8. Lindvall N: Radiological changes of renal papillary necrosis. Kidney Int. 13(1):93-106, 1978
                                        9. Poynter JD et al: Necrosis in situ: a form of renal papillary necrosis seen in analgesic nephropathy. Radiology. 111(1):69-76, 1974
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Pathology

                                                • Clinical Issues

                                                  TERMINOLOGY

                                                  • Abbreviations

                                                    • Renal papillary necrosis (RPN)
                                                  • Definitions

                                                    • Necrosis of renal papilla within medulla secondary to interstitial nephritis or ischemia

                                                  IMAGING

                                                  • General Features

                                                    • IVP, CT Urography Findings

                                                      • CT Findings

                                                        • Ultrasonographic Findings

                                                          • Imaging Recommendations

                                                            DIFFERENTIAL DIAGNOSIS

                                                              PATHOLOGY

                                                              • General Features

                                                                • Gross Pathologic & Surgical Features

                                                                  • Microscopic Features

                                                                    CLINICAL ISSUES

                                                                    • Presentation

                                                                      • Demographics

                                                                        • Natural History & Prognosis

                                                                          • Treatment

                                                                            DIAGNOSTIC CHECKLIST

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Schroeder J et al: Magnetic resonance urography of renal papillary necrosis. Pediatr Radiol. 44(4):491-3, 2014
                                                                              2. Balci A et al: Prevalence of abdominal ultrasonographic abnormalities in patients with sickle cell disease. Diagn Interv Radiol. 14(3):133-7, 2008
                                                                              3. Prasad SR et al: Segmental disorders of the nephron: histopathological and imaging perspective. Br J Radiol. 80(956):593-602, 2007
                                                                              4. Jung DC et al: Renal papillary necrosis: review and comparison of findings at multi-detector row CT and intravenous urography. Radiographics. 26(6):1827-36, 2006
                                                                              5. Dyer RB et al: Classic signs in uroradiology. Radiographics. 24 Suppl 1:S247-80, 2004
                                                                              6. Segasothy M et al: Computed tomography and ultrasonography: a comparative study in the diagnosis of analgesic nephropathy. Nephron. 66(1):62-6, 1994
                                                                              7. Hoffman JC et al: Demonstration of renal papillary necrosis by sonography. Radiology. 145(3):785-7, 1982
                                                                              8. Lindvall N: Radiological changes of renal papillary necrosis. Kidney Int. 13(1):93-106, 1978
                                                                              9. Poynter JD et al: Necrosis in situ: a form of renal papillary necrosis seen in analgesic nephropathy. Radiology. 111(1):69-76, 1974