case_images: PMC10902749_01
case_images: Abdominal CT angiography confirming an extensive opacification defect of the right renal artery (red arrow) and a parenchymal infarction (blue arrow), confirming the diagnosis of a recent renal infarction.
case_images: cureus-0016-00000053211-i01.jpg
case_images: PMC10902749_01_cureus-0016-00000053211-i01.jpg
case_images: FIG1
case_images: On the second day, given the patient's past medical history of bilateral aortic-iliac stenting over 10 years before, the examining nephrologist suspected acute renal infarction, and an abdominal CT angiography (Figures 1, 2) confirmed an almost complete opacification defect of the abdominal aorta and left renal artery, with features suggesting chronic stent thrombosis, as well as an extensive opacification defect of the right renal artery, confirming the diagnosis of recent renal infarction concerning the anterior and superior portion of the right kidney.
case_images: Abdominal CT angiography showing an almost complete opacification defect of the abdominal aorta (red arrows), below renal branches, with features suggesting chronic stent thrombosis.
case_images: cureus-0016-00000053211-i02.jpg
case_images: PMC10902749_01_cureus-0016-00000053211-i02.jpg
case_images: FIG2
case_images: On the second day, given the patient's past medical history of bilateral aortic-iliac stenting over 10 years before, the examining nephrologist suspected acute renal infarction, and an abdominal CT angiography (Figures 1, 2) confirmed an almost complete opacification defect of the abdominal aorta and left renal artery, with features suggesting chronic stent thrombosis, as well as an extensive opacification defect of the right renal artery, confirming the diagnosis of recent renal infarction concerning the anterior and superior portion of the right kidney.
case_images: MAG3 renogram showing a symmetric but severely reduced tubular renal function. Significant parenchymal retention of the radiopharmaceutical in the left kidney is suggestive of obstruction to drainage.
case_images: cureus-0016-00000053211-i03.jpg
case_images: PMC10902749_01_cureus-0016-00000053211-i03.jpg
case_images: FIG3
case_images: A follow-up MAG3 renogram (Figure 3) showed symmetric but severely reduced tubular renal function.