Idiopathic Renal Infarction in a Previously Healthy Active Duty Soldier

Eickhoff, Christa; Mei, Jian M.; Martinez, Jake; Little, Dustin J.

doi:10.7205/milmed-d-13-00478

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…There are currently no established treatment strategies in terms of duration of treatment for idiopathic renal infarction [ 3 ]. Table 2 depicts the reports obtained by searching for “idiopathic renal infarction” in PubMed [ 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 ]. Nine cases were published between 1995 and 2021.…”

Section: Discussionmentioning

confidence: 99%

Asymptomatic Idiopathic Renal Infarction Detected Incidentally on Contrast-Enhanced Computed Tomography: A Case Report

Mizusugi,

Kenzaka

2023

Medicina

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Background: Renal infarction is an extremely rare disease. Although more than 95% of cases are symptomatic, there have been no previously reported asymptomatic cases, without any abnormal blood and urine test findings. Furthermore, the efficacy of long-term treatment of idiopathic renal infarction remains unknown. Case Presentation: A 63-year-old Japanese male underwent laparoscopy; a very low anterior resection of the rectum for lower rectal cancer (stage II) four years and five months prior to diagnosis with renal infarction. During the follow-up imaging studies, asymptomatic idiopathic renal infarction was found incidentally. The blood and urine test findings were normal. Contrast-enhanced computed tomography revealed a linearly bordered area of poor contrast in the dorsal region of the right kidney; however, no renal artery lesions, thromboembolic disease, or coagulation abnormalities were observed. Initial treatment with rivaroxaban 15 mg/day resulted in the remission of the infarcted lesion. The anticoagulation therapy was terminated after about 18 months without any incidences of re-infarction or bleeding events. Conclusions: We reported a very rare case of asymptomatic idiopathic renal infarction where blood and urine tests revealed no abnormal findings, and it was diagnosed incidentally during a post-treatment follow-up examination for lower rectal cancer. Long-term anticoagulant therapy for idiopathic renal infarction should be terminated at an appropriate time, taking the risk of bleeding into account.

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Section: Discussionmentioning

confidence: 99%

Asymptomatic Idiopathic Renal Infarction Detected Incidentally on Contrast-Enhanced Computed Tomography: A Case Report

Mizusugi,

Kenzaka

2023

Medicina

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“…[1][2][3] Rarely, idiopathic RI may occur in patients without apparent risk factors for thromboembolism or vascular disease, and a few cases have been reported. [4][5][6] We report a 26-year-old man who developed bilateral RI associated with acute renal failure (ARF) of unknown cause.…”

Section: Introductionmentioning

confidence: 99%

A Case of Bilateral Renal Infarction of Unknown Cause in a Previously Healthy Young Male

Choi

Jeong

Choi

et al. 2016

J Lipid Atheroscler

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This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.Case Report J Lipid Atheroscler 2016 June;5(1):93-97 http://dx.We report a rare case of bilateral renal infarction resulting in acute renal failure in a previously healthy 26-year-old soldier. The patient presented with an abdominal pain and bilateral costovertebral angle tenderness. Laboratory studies showed elevated serum creatinine, mild leukocytosis, and increased lactate dehydrogenase. Contrast-enhanced computed tomography showed multiple perfusion defects in both kidneys with wedge-shaped infarction in right kidney. Kidney biopsy performed in the left kidney revealed microinfarction. Comprehensive work-up did not reveal any specific causes or risk factors except smoking, and the infarction was considered to be idiopathic. He emphasized that he received extremely strenuous military training several days before he came to the hospital. He was treated with low molecular weight heparin with significant improvement in renal function. Further studies are needed for the characterization of idiopathic renal infarction in previously healthy individuals and evaluating the mechanisms including strenuous physical activity on the renal blood flow. (J Lipid Atheroscler 2016 June;5(1):93-97)

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Idiopathic Renal Infarction in a Previously Healthy Active Duty Soldier

Cited by 2 publications

References 12 publications

Asymptomatic Idiopathic Renal Infarction Detected Incidentally on Contrast-Enhanced Computed Tomography: A Case Report

Asymptomatic Idiopathic Renal Infarction Detected Incidentally on Contrast-Enhanced Computed Tomography: A Case Report

A Case of Bilateral Renal Infarction of Unknown Cause in a Previously Healthy Young Male

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