Images in Emergency Medicine
Article Outline
An 87-year-old woman presented because of decreasing mental status and anorexia over 4 days. She had a history of diabetes mellitus and dementia. Her examination results were remarkable for tachycardia and diffuse abdominal tenderness. She was anuric on the placement of Foley catheter, and her serum creatinine level was elevated. An abdominal computed tomography without contrast enhancement (Figure 1, Figure 2) was obtained.
Figure 1.
The computed tomography reveals extensive gas accumulation in the parenchyma and perinephric structures of the right kidney, including the renal vein and inferior vena cava.
Figure 2.
A near-complete destruction of the right kidney is observed in a more caudal section. Used with permission of Cynthia H. Moon, MD, SUNY Downstate Medical Center, Brooklyn, NY.
PII: S0196-0644(06)00100-4
doi:10.1016/j.annemergmed.2006.01.035
© 2006 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.
Refers to article:
- Images in emergency medicine , 14 March 2006
