BPG is committed to discovery and dissemination of knowledge
Minireviews
Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Nephrol. Mar 25, 2026; 15(1): 114185
Published online Mar 25, 2026. doi: 10.5527/wjn.v15.i1.114185
Computed tomography of renal emergencies: A comprehensive diagnostic guide for radiology residents
Sai Swarupa R Vulasala, Jacob Robinson, Corey Engel, Yanni Zulia, Aryan Sharma, Dheeraj Reddy Gopireddy, Grit Adler, Mayur Virarkar
Sai Swarupa R Vulasala, Jacob Robinson, Corey Engel, Yanni Zulia, Dheeraj Reddy Gopireddy, Grit Adler, Department of Diagnostic Radiology, University of Florida College of Medicine, Jacksonville, FL 32209, United States
Aryan Sharma, Department of Biology, Creekside High School, Jacksonville, FL 32259, United States
Mayur Virarkar, Department of Radiology, University of Florida College of Medicine, Jacksonville, FL 32209, United States
Author contributions: Vulasala SSR, Robinson J, Engel C, Zulia Y, and Sharma A wrote the manuscript; Gopireddy DR, Adler G, and Virarkar M conceptualized and revised the manuscript. All authors have read and approved the final manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Corresponding author: Sai Swarupa R Vulasala, MD, Department of Diagnostic Radiology, University of Florida College of Medicine, 655 West 8th Street, C90, 2nd Floor, Clinical Center, Jacksonville, FL 32209, United States. vulasalaswarupa@gmail.com
Received: September 15, 2025
Revised: November 24, 2025
Accepted: January 16, 2026
Published online: March 25, 2026
Processing time: 182 Days and 13.5 Hours
Abstract

Renal emergencies include a wide variety of pathologies requiring immediate diagnosis and management to reduce morbidity and mortality. Imaging plays a crucial role in identifying the underlying condition, which guides clinical decision-making. In this review, we discuss the computed tomography imaging findings of a diverse spectrum of renal pathologies, categorized by traumatic, vascular, obstructive, and infectious conditions.

Keywords: Computed tomography; Renal emergencies; Radiology residents; Pyelonephritis; Renal trauma

Core Tip: Imaging aids in prompt diagnosis and management of emergent renal conditions of various etiologies such as traumatic, vascular, infectious, and obstructive. Thereby, it plays a major role in preserving the renal function and preventing the progression to end stage disease. Our article serves as a guide for the residents to recognize these conditions and guide the diagnosis.