Idiopathic Renal Infarction: An Important Differential Diagnosis of Unexplained Flank Pain

Spontaneous renal artery dissection is a rare condition with an often non-specific presentation, resulting in a challenging diagnosis for clinicians. This is the case of a 39-year-old man who presented with an acute-onset right flank pain, mild neutrophilia and sterile urine. CT of abdomen and pelvis showed a patchy hypodense area in the right kidney originally thought to represent infection. He was treated as an atypical pyelonephritis with antibiotics and fluids. When his symptoms failed to improve, a diagnosis of renal infarction was considered and CT angiogram of the aorta revealed a spontaneous renal artery dissection. He was managed conservatively with systemic anticoagulation, antihypertensive treatment and analgesia and discharged home with resolution of his symptoms and normal renal function.

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Granulomatous slack skin T-cell lymphoma: an important differential diagnosis with giant cell tumor of soft tissue

Anais Brasileiros de Dermatologia ◽

10.1590/abd1806-4841.20153807 ◽

2015 ◽

Vol 90 (6) ◽

pp. 892-895

Author(s):

André Ricardo Adriano ◽

Tiago Silveira Lima ◽

Maxime Battistella ◽

Martine Bagot

Keyword(s):

Differential Diagnosis ◽

T Cell ◽

Soft Tissue ◽

Giant Cell Tumor ◽

Giant Cell ◽

Cell Lymphoma ◽

Cell Tumor ◽

T Cell Lymphoma ◽

Important Differential Diagnosis

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An uncommon cause of acute flank pain: renal infarction

Internal and Emergency Medicine ◽

10.1007/s11739-018-2001-0 ◽

2018 ◽

Vol 14 (3) ◽

pp. 485-488

Author(s):

Giuseppe De Matteis ◽

Federica Cutillo ◽

Andrea Contegiacomo ◽

Angelo Santoliquido ◽

Giovanni Gambassi

Keyword(s):

Flank Pain ◽

Renal Infarction ◽

Acute Flank Pain

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Inflammatory Pseudotumor of the Liver Complicated by Lung Necrosis and Pleural Empyema: A Case Report

Case Reports in Surgery ◽

10.1155/2011/504619 ◽

2011 ◽

Vol 2011 ◽

pp. 1-3

Author(s):

Klaus Steinbrück ◽

Marcelo Enne ◽

Reinaldo Fernandes ◽

Jose M. Martinho ◽

Lúcio F. Pacheco-Moreira

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Inflammatory Pseudotumor ◽

Liver Tumors ◽

Rare Condition ◽

Pleural Empyema ◽

Important Differential Diagnosis ◽

Uncommon Complication

Inflammatory pseudotumor of the liver (IPTL) is a rare condition, but an important differential diagnosis of hepatic space-occupying lesions. It may regress spontaneously and mimic other liver tumors. Complications are usually intrahepatic. Herein, we present a case of IPTL which developed pleural empyema and lung necrosis as an uncommon complication.

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