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Case report: new sonographic finding in renal infarction
K Kodama1, K Matsuura, R Yamashita
1Department of General Medicine, Omiya Medical Centre, Jichi Medical School, Saitama-ken, Japan.
The British Journal of Radiology
|May 1, 1994
Summary
A unique sonographic finding of a thickened, echogenic perirenal fascia was observed in acute renal infarction due to aortic dissection. This sign aids early diagnosis via routine ultrasound.
Area of Science:
- Nephrology
- Radiology
- Vascular Surgery
Background:
- Abdominal aortic dissection is a serious vascular emergency.
- Renal infarction can be a complication of aortic dissection.
- Early diagnosis of renal infarction is crucial for patient outcomes.
Observation:
- A case study identified a unique sonographic finding in a patient with right global renal infarction.
- The infarction was associated with abdominal aortic dissection.
- Acute sonography revealed a highly echogenic and thickened perirenal fascia.
Findings:
- The perirenal fascia appeared thickened and highly echogenic on ultrasound.
- No abnormalities were initially demonstrable within the renal parenchyma itself.
- This specific finding was linked to acute renal infarction.
Implications:
- This sonographic sign may aid in the early diagnosis of renal infarction.
- Routine ultrasonography can potentially detect this finding.
- Improved early detection can lead to timely intervention for renal infarction.