Case of March 2022

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Clinical History:

A 67-year-old female presented acutely with left loin pain and drop in blood haemoglobin level. Contrast CT performed showing subcapsular haematoma at the left kidney with contrast extravasation. Catheter angiogram was then performed. 

On further questioning, she had a recent onset of fever, weight loss, diffuse myalgia, hypertension and progressive deranged renal function pending further investigations. The serum C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) were also elevated.

Selected images of right and left renal artery angiogram