Acute renal infarction: A diagnostic challenge

Markabawi, Danny; Singh-Gambhir, Harvir

doi:10.1016/j.ajem.2018.04.018

Cited by 6 publications

(9 citation statements)

References 6 publications

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“…According to the results of a study that involved 121 patients with RI and was conducted by Eren et al (2), LDH was found high (696±93 IU/l). In the literature, the RI dimension and LDH level were determined in direct proportion, and it was specified as high (6)(7)(8)(9)(10)(11). Similarly, LDH was found high in our study, too.…”

Section: Discussionsupporting

confidence: 67%

“…Contrast-enhanced abdominal computed tomography (CT) is the preferred imaging method to evaluate a variety of acute abdominal conditions. The gold standard method for the diagnosis of RI is contrast-enhanced abdominal CT because it is easy to apply and non-invasive (6,7). Demonstration of a wedge-shaped hypodense lesion in the peripheral area is diagnostic.…”

Section: Introductionmentioning

confidence: 99%

“…In addition, elevated white blood cell (WBC), C-reactive protein (CRP), lactate dehydrogenase (LDH), decreased glomerular filtration rate (GFR), and increased creatine (Cr) in patients may help us. LDH is an indicator of cell necrosis, and its high levels have been shown as a promising marker for predicting the renal prognosis (3,4,(6)(7)(8).…”

Section: Introductionmentioning

confidence: 99%

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Laboratory parameters can be used to differentiate renal infarction and urolithiasis in patients who are admitted to the emergency department with flank pain

Çetinkaya

Alatli

2021

Journal of Health Sciences and Medicine

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Section: Discussionsupporting

confidence: 67%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Laboratory parameters can be used to differentiate renal infarction and urolithiasis in patients who are admitted to the emergency department with flank pain

Çetinkaya

Alatli

2021

Journal of Health Sciences and Medicine

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“…It has no disease-specific signs, symptoms, or laboratory value. Patients mostly present with complaints such as flank pain, abdominal pain, nausea, and vomiting (3,4). Rarely, they may present with fever, uncontrolled hypertension, and acute renal failure (5).…”

Section: Introductionmentioning

confidence: 99%

Acil Bölümünde Nadir Bir Tanı: Renal Enfarktüs

Gürger

2022

Genel Tıp Dergisi

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Objective: Renal infarction (RI), which is caused by sudden cessation of renal blood flow, is a rare disease. In this study, we planned to investigate the demographic and clinical characteristics and outcomes of patients diagnosed with renal infarction in the emergency department. Material and Methods: Patients over the age of 18 who presented to the emergency department with abdominal/flank pain, nausea, and vomiting between 2010 and 2021 and were diagnosed with acute renal infarction in contrast-enhanced abdominal computed tomography were included in the study. The data of the patients were reviewed retrospectively. Demographic and clinical characteristics, as well as laboratory results of the patients, were recorded. Results: A total of 38 patients were included in the study. The mean age of the patients was 61.8±18 years and 63.2% (n=24) were male. The most common complaints of the patients were abdominal pain (84.2%), flank pain (68.4%), and nausea-vomiting (50%). More rarely, patients complained about chest pain, dyspnea, and fever. Acute renal failure developed in 4 patients (10.5%). While only three (7.9%) of the patients had no known disease, the others had comorbidities such as hypertension (31.6%), ischemic heart disease (31.6%), previous thromboembolic events (31.6%), diabetes (26.3%), cancer (23.7%), heart failure (21.1%), and atrial fibrillation (18.4%). The most common cause of RI was cardioembolic events (44.7%), followed by hypercoagulability (28.9%), renal artery damage (15.8%), and idiopathic causes (10.5%). Conclusion: Acute RI is a disease that is rarely detected in the emergency department. Because there is a lack of specific clinical findings, it is often overlooked or diagnosed late. Delay in diagnosis can significantly cause morbidity and mortality. The diagnosis of acute RI should be considered especially in patients with a high risk of thromboembolism and who present to the emergency department with complaints of unexplained abdominal or flank pain.

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“…At the same time, trauma (7.4%), lupus erythematosus (4.9%), and antiphospholipid syndrome (1%) turned out to be a fairly rare cause of thrombosis, and most cases were not reliably substantiated (57-59%). 3,4,24 In general, it is possible to divide the causes of renal artery thrombosis into several large groups: cardiac (24.4%), renal (30.8%), hypercoagulable (15.9%), and idiopathic (28.7%). 5 The gender ratio averages 58% of men to 42% of women, with an average age of 53 ± 1.4 years.…”

Section: Introductionmentioning

confidence: 99%

Rare Clinical Cases of Renal Artery Thrombosis

Vorobev

Белобородов

Балабина

et al. 2021

Bangladesh J Med Sci

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Objective: Renal vascular thrombosis is a thrombotic blockage of the major renal arteries resulting in acute damage or chronic kidney disease. The study aims to analyze rare clinical cases of renal artery thrombosis with following renal infarction. Materials and methods: The article present a retrospective study of examination and treatment results of patients diagnosed with the renal arteries thrombosis in the urological hospital of the Irkutsk Clinical Hospital No. 1 in the period 2012-2020. Results and Discussion: During the entire observation period, there were two clinical cases of acute renal artery thrombosis. The 86-year-old woman developed thrombosis because of atrial fibrillation, which was probably the result of inadequate correction (insufficient dose of anticoagulant). Kidney infarction had complications like rapid suppuration because of chronic urinary infection and calculus of the renal pelvis. It resulted in nephrectomy with subsequent recovery. The second case was the 45-year-old man examined according to existing standards, and the diagnosed-on time in the first hours of the disease. However, complete thrombosis of the right renal artery neutralized the effectiveness of conservative therapy with warfarin. In this case, nephrosclerosis and renal failure were natural. Conclusion: Renal artery thrombosis is a rare pathology that requires special attention from the clinician due to the high risk of renal function loss. Timely diagnosis and correct treatment tactics are especially important. Bangladesh Journal of Medical Science Vol.20(3) 2021 p.550-555

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Acute renal infarction: A diagnostic challenge

Cited by 6 publications

References 6 publications

Laboratory parameters can be used to differentiate renal infarction and urolithiasis in patients who are admitted to the emergency department with flank pain

Laboratory parameters can be used to differentiate renal infarction and urolithiasis in patients who are admitted to the emergency department with flank pain

Acil Bölümünde Nadir Bir Tanı: Renal Enfarktüs

Rare Clinical Cases of Renal Artery Thrombosis

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