Y. Ozono et al., ACUTE TUBULAR-NECROSIS WITH LOIN PAIN AND PERSISTENT MULTIPLE WEDGE-SHAPED CONTRAST ENHANCEMENT ON CT, Internal medicine, 33(1), 1994, pp. 53-55
A 38-year-old man had severe loin pain and computed tomography perform
ed 48 hours later, after drip infusion pyelography (DIP), revealed wed
ge-shaped contrast enhancement. He showed mild impairment of renal fun
ction with no evidence of rhabdomyolysis. The loin pain lasted for 5 d
ays and the wedge-shaped contrast enhancement on CT persisted for 14 d
ays and improved. The case was compatible with the new syndrome, loin
pain and persistent wedge-shaped contrast enhancement on CT, proposed
by Ishikawa et al (Nephron 27: 31, 1981).