EURORAD ESR

Case 10753

Acute renal cortical necrosis

Author(s)
Salvatore Stefanelli, Max Scheffler

Geneva University Hospitals
Department of Radiology
Rue Gabrielle-Perret-Gentil 4
1211 Geneva 14
Switzerland
 
Patient
female, 34 year(s)
 
 
  • Figure 1
    Initial CT
     

    Initial contrast-enhanced axial CT obtained during portal phase shows characteristic "reverse rim" sign of both kidneys.

     
    Area of Interest: Kidney; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Ischaemia / Infarction;

    Sagittal reconstruction with thrombus in the IVC lumen (red arrow).

     
    Area of Interest: Veins / Vena cava; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;
     
     
  • Figure 2
    Follow-up CT
     

    Contrast-enhanced follow-up CT with persisting "reverse rim" sign and more evident "cortical rim" sign (white arrow). Note IVC filter.

     
    Area of Interest: Kidney; Veins / Vena cava; Imaging Technique: CT; Procedure: Diagnostic procedure; Filter insertions; Special Focus: Haematologic diseases; Ischaemia / Infarction;

    Coronal reconstruction of follow-up CT with bilateral "reverse rim" and "cortical rim" signs.

     
    Area of Interest: Kidney; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Ischaemia / Infarction;
     
     
Initial contrast-enhanced axial CT obtained during portal phase shows characteristic "reverse rim" sign of both kidneys.
 
Sagittal reconstruction with thrombus in the IVC lumen (red arrow).
 
Contrast-enhanced follow-up CT with persisting "reverse rim" sign and more evident "cortical rim" sign (white arrow). Note IVC filter.
 
Coronal reconstruction of follow-up CT with bilateral "reverse rim" and "cortical rim" signs.
 
 
 
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