影像学在双侧肾皮质坏死诊断中的作用：病例报告及文献复习

Q4 Medicine

Radiology Case Reports Pub Date : 2025-05-07 DOI:10.1016/j.radcr.2025.04.104

Bouchoual Mohammed , Jabrane Marouane , El Ouazzani Mouad , Bigi Soufiane , Anibar Sara , Wakrim Soukaina , Arrayhani Mohamed

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引用次数: 0

摘要

肾皮质坏死是肾小动脉损伤引起的肾皮质组织破坏，导致急性肾损伤。这种罕见的情况通常表现在新生儿和孕妇或产后妇女当败血症或妊娠相关并发症发生。症状包括肉眼可见的血尿、腹部疼痛、尿量减少、发热和尿毒症症状的出现。我们报告一位38岁的多胎患者，无明显病史，37周时阴道分娩，并发先兆子痫、子痫、HELLP综合征、胎盘后血肿和需要透析的急性肾损伤。她还经历了严重的产后出血，血流动力学不稳定，需要使用不稳定的血液制品和氨甲环酸。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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The role of radiological imaging in the diagnosis of bilateral renal cortical necrosis: Case report and literature review

Renal cortical necrosis is the destruction of the cortical tissue resulting from renal arteriolar injury, leading to acute kidney injury. This rare condition typically manifests in neonates and pregnant or postpartum women when sepsis or pregnancy-related complications occur. Symptoms include macroscopic hematuria, flank pain, reduced urine output, fever, and the onset of uremic symptoms.

We present a 38-year-old multiparous patient with no significant medical history, admitted for vaginal delivery at 37 weeks, complicated by pre-eclampsia, eclampsia, HELLP syndrome, retroplacental hematoma, and acute kidney injury requiring dialysis. She also experienced significant postpartum hemorrhage with hemodynamic instability, necessitating labile blood products and tranexamic acid administration.

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来源期刊

Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

1.10

自引率

0.00%

发文量

1074

审稿时长

30 days

期刊介绍： The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.