The possible role of iodinated contrast in enhancing acute kidney injury in a critically ill neonate – a case report
DOI:
https://doi.org/10.13112/PC.2021.8Keywords:
ACUTE KIDNEY INJURY, HEART DEFEC TS, CONGENITAL, CONTRAST MEDIAAbstract
A multi-modality approach is necessary for accurate diagnosis in case of congenital heart diseases present in the neonatal period. Advances in medical imaging have increased dependence on the information provided by radiological studies. However, several of these studies require the use of contrast, which may enhance the risk of contrast-induced acute kidney injury. We report on a case of a neonate with transposition of great arteries who was submitted to iodinated contrast during angiotomography. Soon after the procedure, he presented anuria and increased urea and creatinine levels, and was diagnosed with a contrast-induced acute kidney injury. Despite the use of peritoneal dialysis, he died soon thereafter. Post mortem analysis showed extensive coagulative necrosis in the renal cortical and medullary layers.
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