Pancreatic cancer initially presenting with acute renal infarction: A case report

Figure 1 Abdominal contrast-enhanced computed tomography images were obtained during the arterial phase, portal phase, and equilibrium phase. A: Right renal infarction (orange arrow); B: Pancreatic cancer (yellow arrow) with hepatic metastasis. M: Metastasis.

Figure 2 Abdominal computed tomography three-dimensional reconstruction images, angiogram-three-dimensional images, and angiography images are presented. A and B: Coronal computed tomography (CT) scan showing pancreatic cancer (yellow arrow) and right renal infarction (orange arrow); C and D: Three-dimensional reconstruction of abdominal CT angiography demonstrating thrombosis of the renal artery, as indicated by orange arrows; E: Right renal artery angiography revealing complete obstruction of the upper and middle branches; F: Post-thrombolysis imaging showing significant improvement in the main and branch vessels of the right renal artery.

Figure 3 Brain magnetic resonance imaging and magnetic resonance angiography images are presented. A-D: Bilateral multiple paraventricular infarctions are demonstrated on T1-weighted images, T2-weighted images, apparent diffusion coefficient mapping, and diffusion-weighted imaging (DWI) sequences; E: Magnetic resonance angiography showing no significant abnormalities; F: Follow-up DWI revealing newly developed infarct lesions in the bilateral parietal and frontal lobes.