A case of renal artery thrombosis with renal infarction

Abstract

Renal artery thrombosis is a rare, but serious and often misdiagnosed, condition. Emergency physicians and other physicians need to consider this diagnosis in unexplained flank pain, especially in patients with risk factors for this disease. In this case report, the authors review a case of renal infarction caused by renal artery thrombosis in a patient with risk factors for thrombosis but no previous history of thromboembolism. A review of scholarly articles was performed and the case is discussed in the context of the current knowledge of this condition. Common presenting symptoms, features of the history and risk factors will all be discussed herein. Diagnostic evaluation of flank pain in the setting of the suspicion of renal infarction will be discussed, including the modalities of high-resolution computed tomography, renal angiography, scintography and ultrasound. Acute management and prognosis will also be discussed.

Renal Infarction in a Patient with Psoriasis: Case Report

“…Nitekim, tek merkezli, en yüksek hasta sayısına sahip çalışmadaki hasta sayısı 50'den azdır ve renal infarkt prevalansı 0,02/1000 bulunmuştur; 14 411 olguyu kapsayan bir otopsi serisinde ise insidans %1,4 olarak tespit edilmiştir. 6 Renal infarkt kan veya kolesterolden oluşan trombüslerin renal arterde ve/veya renal arter dallarında obstrüksiyon oluşturması ile ortaya çıkar. Bu trombüslerin kaynağı çoğunlukla kardiyak kökenlidir ve 600 hastayı kapsayan bir çalışmada, kardiyak kökenli bu trombüslerin periferde en sık ekstremite arterleri (%61), mezenterik arterler (%29), pelvik arterler (%9), aorta (%7) ve renal arterlerde (%2) tromboemboliye neden oldukları görülmüştür.…”

Renal Artery Embolism Diagnoed by Abdominal Ct and Successfully Managed Conservatively After Thirty-Six Hours: A Case Report.

“…Major risk factors for RAE include atrial fibrillation, vavular o ischemic heart disease, aortic atheromatosis and previous thromboembolic event [2,3,4,7]. Although our patient is a known case atrial fibrillation which is a well known risk factor for acute RAE, she was diagnosed as a case renal colic.…”

“…Renal artery embolism (RAE) is an event that is rarely reported in the literature and is easily misdiagnosed due to its nonspecific presentations [1] RAE typically associated with atrial fibrillation (AF) [2,3] , however other coexisting conditions have been associated with RAE including aneurysmal disease, valvular or ischemic heart disease and advanced malignancy, previous infarction and pulmonary embolism [2,4].…”

An Ambiguous Case of Abdominal Pain involving Renal Artery Thrombosis with Renal Infarction

“…In our patient echocardiogram excluded infective endocarditis and laboratory test for hypercoagulable cause of renal artery thrombosis. The common cause of renal artery thrombosis associated with arterial fibrillation, antiphospholipid syndrome, infective endocarditis, sickle cell disease, protein S deficiency, protein C resistance and trauma (6). Actual estimation of renal artery thrombosis is difficult because of rarity and uncommon clinical presentation.…”