History and admission findings: We report on a patient presenting with renal failure who developed mutliple episodes of flash pulmonary edema.
Investigations: Volume retention due to ischemic nephropathy was found to be the cause.
Diagnosis, treatment and course: She was diagnosed to have a high grade renal artery stenosis in a functional solitary kidney and underwent percutaneous angioplasty. After being anuric and dialysis-dependent, she regained her kidney function leading to resolution of the volume retention and could be weaned from dialysis.
Conclusions: Ischemic nephropathy is often accompanied by recurrent episodes of flash pulmonary edema and responds well to an interventional treatment.
© Georg Thieme Verlag KG Stuttgart · New York.