CTICasesBuerger's Disease with Renal Infarction
Imaging findings
CT angiograms show occlusion of the infrarenal abdominal aorta and bilateral external iliac/femoral arteries with extensive collateral vessels, associated with severe left ventricular hypertrophy, and new bilateral wedge-shaped cortical defects (renal infarcts) in the kidneys.
Key takeaways
Buerger's disease (thromboangiitis obliterans) is a non-atherosclerotic, inflammatory vasculitis that predominantly affects small and medium-sized arteries and veins in young smokers. Although extremity involvement is classic, visceral involvement (such as renal artery occlusion causing renal infarction) and severe systemic vascular resistance can occur.
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