Mortality and Acute Renal Failure after Contrast Enhanced Computed Tomography in Octogenarians Presenting to an Emergency Department with Acute Abdominal Pain

2007 ◽  
Vol 14 (5 Supplement 1) ◽  
pp. S17-S17
Author(s):  
D. Cabrera ◽  
M. F. Bellolio ◽  
L. Vukov
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Renal Failure ◽  
Acute Renal Failure ◽  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Contrast Enhanced ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

scholarly journals Risk of acute kidney injury after contrast-enhanced computed tomography in emergency department

2020 ◽  
pp. 102490792091339
Author(s):  
Seda Dağar ◽  
Emine Emektar ◽  
Hüseyin Uzunosmanoğlu ◽  
Şeref Kerem Çorbacıoğlu ◽  
Özge Öztekin ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Acute Kidney Injury ◽  
Intensive Care ◽  
Contrast Media ◽  
Kidney Injury ◽  
Intravenous Contrast ◽  
Contrast Enhanced ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

Background: Despite its risks associated with renal injury, intravenous contrast media increases diagnostic efficacy and hence the chance of early diagnosis and treatment, which leaves clinicians in a dilemma regarding its use in emergency settings. Objective: The aim of this study was to determine the risk and predictors of contrast-induced acute kidney injury following intravenous contrast media administration for computed tomography in the emergency department. Methods: All patients aged 18 years and older who had a basal creatinine measurement within the last 8 h before contrast-enhanced computed tomography and a second creatinine measurement within 48–72 h after computed tomography scan between 1 January 2015 and 31 December 2017 were included in the study. Characteristics of patients with and without contrast-induced acute kidney injury development were compared. Multivariate regression analysis was used to assess the predictors for contrast-induced acute kidney injury. Results: A total of 631 patients were included in the final statistical analysis. After contrast media administration, contrast-induced acute kidney injury developed in 4.9% ( n = 31) of the patients. When the characteristics of patients are compared according to the development of contrast-induced acute kidney injury, significant differences were detected for age, initial creatinine, initial estimated glomerular filtration rate, and all acute illness severity indicators (hypotension, anemia, hypoalbuminemia, and need for intensive care unit admission). A multivariate logistic regression analysis was performed. The need for intensive care unit admission (odds ratio: 6.413 (95% confidence interval: 1.709–24.074)) and hypotension (odds ratio: 5.575 (95% confidence interval: 1.624–19.133)) were the main factors for contrast-induced acute kidney injury development. Conclusion: Our study results revealed that hypotension, need for intensive care, and advanced age were associated with acute kidney injury in patients receiving contrast media. Therefore, we believe that to perform contrast-enhanced computed tomography in emergency department should not be decided only by checking for renal function tests and that these predictors should be taken into consideration.

scholarly journals Midgut malrotation with volvulus - a case report

2013 ◽  
Vol 02 (02) ◽  
pp. 082-085
Author(s):  
Pradipta Ray Choudhury ◽  
Prasant Sarda ◽  
Shobhit Singh ◽  
Prabahita Baruah ◽  
K. L. Talukdar
Keyword(s):  
Abdominal Pain ◽  
Mesenteric Artery ◽  
Acute Abdominal Pain ◽  
Abdominal Cavity ◽  
Recurrent Abdominal Pain ◽  
Midgut Malrotation ◽  
Contrast Enhanced ◽  
Whirlpool Sign ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

AbstractMidgut malrotation is a rare anatomic anomaly that complicates the diagnosis and management of acute abdominal pain. It is a congenital anomaly that arises from incomplete rotation or abnormal position of the midgut during embryonic development. A two years old boy was brought with recurrent abdominal pain and vomiting. On ultrasonography, the intestinal malrotation was suspected and thus contrast enhanced computed tomography (CECT) was done. On CECT, abnormal relationship between the superior mesenteric artery (SMA) and superior mesenteric vein (SMV), colon on the left side of the abdominal cavity, 'Whirlpool sign' etc., were found. All findings were suggestive of midgut malrotation with volvulus. Detection of uncomplicated malrotation should not be trivialized because such patients might experience a future complication.

scholarly journals Akut nyreinfarkt: En sjælden årsag til akut abdomen

2019 ◽  
Vol 2 (4) ◽  
pp. 73-75
Author(s):  
Mohamed Ebrahim
Keyword(s):  
Computed Tomography ◽  
Acute Abdominal Pain ◽  
Initial Assessment ◽  
Renal Infarction ◽  
Proper Treatment ◽  
Delay In Diagnosis ◽  
Contrast Enhanced ◽  
Contrast Ct ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

Acute Renal infarction is a rare cause of acute abdomen that may cause irreversible kidney damage. The presenting symptomatology is nonspecific and mimics other more common conditions, which leads to delay in diagnosis. If diagnosis is made early by contrast-enhanced computed tomography proper treatment can be planned to preserve kidney function. We report a case of renal infarction in a 45 year old man with acute abdominal pain were diagnosis was missed at initial assessment with non-contrast CT.

scholarly journals A case of Giant Renal Angiomyolipoma in Tuberous Sclerosis Complex

2018 ◽  
Vol 5 (10) ◽  
pp. 3422
Author(s):  
Kanumury Ramesh ◽  
Paruchuri Naga Manvi
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Tuberous Sclerosis ◽  
Male Patient ◽  
Tuberous Sclerosis Complex ◽  
Renal Angiomyolipoma ◽  
Contrast Enhanced ◽  
Renal Hamartoma ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

ABSTRACT:Angiomyolipomas also referred to as renal hamartoma is a benign lesion.They are either sporadic or associated with syndromes like tuberous sclerosis. Here we present a case of 58yrs old male patient, who presented with left sided abdominal pain for 1month.On examination over face Adenoma Sebaceum was present.Ultrasound abdomen and contrast enhanced computed tomography showed bilateral renal angiomyolipoma with aneurysm over left side.On plain computed tomography of head subependymal calcifications were present.Left Nephrectomy was done and histopathology revealed Angiomyolipoma.

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