Severe liver and renal injuries following cerebral angiography: late life-threatening complications of non-ionic contrast medium administration
| Autor: | Marcelo Cunio Machado Fonseca, Paulo Sérgio Lucas da Silva, Emerson Yukio Kubo |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Intracranial Arteriovenous Malformations
Male medicine.medical_specialty Abdominal pain medicine.medical_treatment Contrast Media 030204 cardiovascular system & hematology 030218 nuclear medicine & medical imaging Peritoneal dialysis Nephropathy 03 medical and health sciences 0302 clinical medicine Oliguria medicine Humans Child Dialysis medicine.diagnostic_test business.industry Liver Diseases General Medicine medicine.disease Magnetic Resonance Imaging Cerebral Angiography Anesthesia Pediatrics Perinatology and Child Health Abnormal Liver Function Test Kidney Diseases Neurology (clinical) Radiology medicine.symptom Iohexol Tomography X-Ray Computed business Cerebral angiography medicine.drug |
| Zdroj: | Child's Nervous System. 32:733-737 |
| ISSN: | 1433-0350 0256-7040 |
| DOI: | 10.1007/s00381-015-2889-x |
| Popis: | Contrast-induced nephropathy requiring dialysis support is rarely reported, whereas severe liver injury after contrast agent administration has not been described in children yet. A previously healthy 10-year-old boy with diagnosis of cerebral arteriovenous malformation underwent a cerebral angiogram study with iohexol (3 mL/kg). After 4 days, he developed vomiting and abdominal pain. Laboratory results showed abnormal liver function tests, including marked elevation of transaminases. In the next day, he evolved with oliguria and blood arterial hypertension. At this time, he presented with worsening renal function tests. Peritoneal dialysis was required for 13 days. The patient had a self-limiting course and received only supportive treatment. This report highlights delayed complications related to low non-ionic contrast media with a rare presentation that can be neglected or unrecognized by pediatric specialties. |
| Databáze: | OpenAIRE |
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