Renal infarction

Glomerulonephritis, pyelonephritis, renal infarction, papillary necrosis, renal tumors, kidney stones Pyelonephritis, interstitial nephritis... 

Fig. 5. The reason why we considered that wedge-shaped contrast enhancement reflected a vascular lesion. We infused microspheres in the rat heart, and performed glomerular supervital staining with Alcian blue. In this rat, renal infarction was detected. This was the basis of the hypothesis that wedge-shaped lesions are related to vasoconstriction (p. 4)...

Ishikawa I, Masuzaki S, Saito T, Yuri T, Shinoda A, Tsujigiwa M (1989) Magnetic resonance imaging in renal infarction and ischemia. Nephron 51 99-102... 

Aortic thrombus and renal infarction has been reported in a patient who used nasal cocaine (80). 

Renal infarction is an uncommon adverse effect of cocaine (210). 

Mochizuki Y, Zhang M, Golestaneh L, Thananart S, Coco 101. M. Acute aortic thrombosis and renal infarction in acute cocaine intoxication a case report and review of literature. 

Saleem TM, Singh M, Murtaza M, Singh A, Kasubhai M, Gnanasekaran I. Renal infarction a rare complication of cocaine abuse. Am J Emerg Med 2001 19(6) 528-9. 

Sharff JA. Renal infarction associated with intravenous cocaine use. Ann Emerg Med 1984 13 1145-1147. 

Goodman PE, Rennie WP. Renal infarction secondary to nasal insufflation ofcocaine. Am. J Emerg Med 1995 13 421-423. 

Other complications of vasospasm include coronary ischemia and myocardial infarction, abdominal angina and bowel infarction, renal infarction and failure, visual disturbances and blindness, and stroke. Psychosis, seizures, and coma occur rarely. 

Urinary tract A rare case of cocaine-associated bilateral renal infarction has been reported [16 ]. 

A 46-year-old cocaine user developed constant bilateral flank pain that worsened with deep inspiration. He had a sinus tachycardia and right upper quadrant tenderness. His D-dimers and serum lactate dehydrogenase activity were raised and there was cocaine in the urine. An abdominal CT scan showed bilateral renal infarcts. He was anticoagulated. 

Ahmed W, Gowda M, Khan N, Shanesaz P, Bains P. A rare case of cocaine induced bilateral renal infarction. NKF Spring Clinical Meetings Abstracts, Abstract 13 2010, A35. 

Jacobs JA, Ring EJ, Wein AJ (1981) New indications for renal infarction. J Urol 125 243-245... 

Weigel JW, Mebust WK, Foret JD, Noble MJ, Votapka T, Krish-nan EC et al. (1985) Treatment of renal cell carcinoma with renal infarction, delayed nephrectomy, medroxyprogesterone, and xenogeneic immune RNA. Urology 25 103-105... 

Swanson DA, Wallace S (1988) Surgery of metastatic renal cell carcinoma and use of renal infarction. Semin Surg Oncol 4 124-128... 

Kidney disease is observed in 16% to 49% of CSS patients, usually presenting as rapidly progressive glomerulonephritis with necrosis, crescents, or both (2,3,37,38). Interstitial eosinophil and neutrophil infiltration with edema is also possible. Although mostly associated with anti-MPO Ab (2,3), it is a pauci-immune glomerulonephritis. Other renal manifestations include proteinuria, hypertension, renal insufficiency, and/or renal infarction with or without microaneurysms (1,4,16,22-24,36,38). 

Fig. 19.7a,b. Renal sonography in sickle cell disease, a Increased echogenicity of the medulla with consecutively inverted corticomedullary differentiation. In the absence of hypercalciuria, this pattern is typical for sickle cell nephropathy. b Amplitude-coded color Doppler sonography of the right kidney (cross section) shows a segmental parenchymal area without colour signals (arrow), consistent with a renal infarction in sickle cell disease... 

Girard MS, Mattrey RF, Baker KG et al (2000) Comparison of standard and second harmonic B-mode sonography in the detection of segmental renal infarction with sonographic contrast in a rabbit model. J Ultrasound Med 19 185-192... 

Fig. 21.4. Amplitude-coded Doppler sonography. Renal transplant with perfusion defect due to arterial occlusion (renal infarction)...

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