We present the case of a 52-year-old male who was admitted to the hospital for a bilateral pulmonary embolism. On the 5 th day of hospitalization, an acute kidney injury (AKI) occurred. A transesophageal echocardiogram was performed and it demonstrated a large patent foramen ovale with a consistent right-to-left shunt. Contrast-enhanced ultrasound (CEUS) was performed and it demonstrated multiple bilateral renal ischemic areas. CEUS represents a valid alternative to computed tomography or magnetic resonance to confirm the diagnosis of bilateral kidney infarction, especially in patients who experience an AKI.
Paradoxical pulmonary embolism in a patient with bilateral renal infarction: The role of contrast-enhanced ultrasound imaging
Imazio M.;
2022-01-01
Abstract
We present the case of a 52-year-old male who was admitted to the hospital for a bilateral pulmonary embolism. On the 5 th day of hospitalization, an acute kidney injury (AKI) occurred. A transesophageal echocardiogram was performed and it demonstrated a large patent foramen ovale with a consistent right-to-left shunt. Contrast-enhanced ultrasound (CEUS) was performed and it demonstrated multiple bilateral renal ischemic areas. CEUS represents a valid alternative to computed tomography or magnetic resonance to confirm the diagnosis of bilateral kidney infarction, especially in patients who experience an AKI.File in questo prodotto:
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