Necrosis papilar renal bilateral de resolución espontánea como causa de hematuria microscópica. Caso clínico
Autor: | Cristian Pedreros-Rosales, Gonzalo Ramírez-Guerrero, Leopoldo Ardiles, Hans Müller-Ortiz, Alexis González-Burboa, Fernando Jara-Vilugrón, Carlos Zúñiga-San-Martín |
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Rok vydání: | 2020 |
Předmět: |
Pathology
medicine.medical_specialty Necrosis medicine.diagnostic_test business.industry Computed tomography General Medicine Renal papillary necrosis urologic and male genital diseases medicine.disease Major duodenal papilla medicine.anatomical_structure Multidetector Computed Tomography medicine Renal medulla Etiology Ischemic necrosis Kidney Papillary Necrosis Analgesic abuse medicine.symptom business Hematuria |
Zdroj: | Revista médica de Chile v.148 n.1 2020 SciELO Chile CONICYT Chile instacron:CONICYT |
ISSN: | 0034-9887 |
DOI: | 10.4067/s0034-98872020000100118 |
Popis: | Renal papillary necrosis is an infrequent cause of hematuria characterized by ischemic necrosis of the renal medulla, especially the papilla. Its most common cause is analgesic abuse. Despite being oligo-symptomatic, in many cases its presence is associated with serious functional sequelae. Imaging, especially computed tomography, is essential to make the diagnosis. We report a 63-year-old female studied for an asymptomatic microscopic hematuria whose tomographic study showed a bilateral renal papillary necrosis. No etiology was found, and she evolved with a spontaneous complete remission. |
Databáze: | OpenAIRE |
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