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Incidental Renal Infarction on imaging for Abdominal Aortic Aneurysm
Cevdet Donmez1, Asma Bitar De Zayas-Enriquez2, Hosny Hamza2
1Cardiology Department, East Kent University Hospitals NHS Foundation Trust, UK.
JPMA. the Journal of the Pakistan Medical Association
|November 16, 2024
Summary
This study details a patient with a large abdominal aortic aneurysm and multiple arterial occlusions. Further renal scans were performed to assess kidney damage and function.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
- Nephrology
Background:
- A 59-year-old male patient was under surveillance for abdominal aortic aneurysm and peripheral artery disease.
- Diagnostic imaging was employed to investigate the patient's vascular condition.
Observation:
- CT Angiogram revealed a 6.2cm abdominal aortic aneurysm with substantial thrombus.
- The scan also showed occluded coeliac and left iliac arteries, and calcified stenosis of the right renal artery.
- Evidence of chronic renal infarct in the right upper pole was noted.
Findings:
- Technetium-99m dimercaptosuccinic acid (Tc-99m DMSA) renal scan was performed.
- The scan aimed to document the extent of renal infarction.
- Differential kidney function was assessed.
Implications:
- This case highlights complex vascular pathology including abdominal aortic aneurysm and associated arterial occlusions.
- Renal artery stenosis and infarction underscore the systemic impact of atherosclerotic disease.
- Tc-99m DMSA renal scan is crucial for evaluating renal function in patients with complex vascular conditions.
