Acute Renal Infarction: An Unusual Cause of Abdominal Pain

Javaid, Muhammad Masoom; Butt, Mohammed A.; Syed, Yadullah; Carr, P.

doi:10.1080/08860220902839113

Cited by 9 publications

(14 citation statements)

References 8 publications

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“…However, we also provide the first demonstration that clinical symptoms do not differ significantly between patients with different causes of RI. Mean BP at RI presentation has rarely been reported, but several case reports have suggested that some patients remain normotensive after kidney infarction (12,13). In our study, an increase in BP was frequently observed at the time of RI diagnosis (48% of cases).…”

Section: Discussionmentioning

confidence: 55%

Acute Renal Infarction

Bourgault¹,

Grimbert²,

Verret³

et al. 2013

Clinical Journal of the American Society of Nephrology

163

181

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SummaryBackground and objectives Renal infarction is an arterial vascular event that may cause irreversible damage to kidney tissues. This study describes the clinical characteristics of patients with renal infarction according to underlying mechanism of vascular injury.Design, setting, participants, & measurements This study retrospectively identified 94 patients with renal infarction diagnosed between 1989 and 2011 with the aim of highlighting potential correlations between demographic, clinical, and biologic characteristics and the etiology of renal infarction. Four groups were identified: renal infarction of cardiac origin (cardiac group, n=23), renal infarction associated with renal artery injury (renal injury group, n=29), renal infarction associated with hypercoagulability disorders (hypercoagulable group, n=15), and apparently idiopathic renal infarction (idiopathic group, n=27).Results Clinical symptoms included abdominal and/or flank pain in 96.8% of cases; 46 patients had uncontrolled hypertension at diagnosis. Laboratory findings included increase of lactate dehydrogenase level (90.5%), increase in C-reactive protein level (77.6%), and renal impairment (40.4%). Compared with renal injury group patients, this study found that cardiac group patients were older (relative risk for 1 year increase=1.21, P=0.001) and displayed a lower diastolic BP (relative risk per 1 mmHg=0.94, P=0.05). Patients in the hypercoagulable group had a significantly lower diastolic BP (relative risk=0.86, P=0.005). Patients in the idiopathic group were older (relative risk=1.13, P=0.01) and less frequently men (relative risk=0.11, P=0.02). Seven patients required hemodialysis at the first evaluation, and zero patients died during the first 30 days.Conclusions This study suggests that the clinical and biologic characteristics of patients can provide valuable information about the causal mechanism involved in renal infarction occurrence.

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Section: Discussionmentioning

confidence: 55%

Acute Renal Infarction

Bourgault¹,

Grimbert²,

Verret³

et al. 2013

Clinical Journal of the American Society of Nephrology

163

181

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“…[5] High index of suspicion with prompt work up is needed for timely treatment which is crucial in preventing the irreversible damage to kidney. Our patient presented with right lower abdominal pain which may be caused by the disease including urinary tract infection, appendicitis and ectopic pregnancy.…”

Section: Discussionmentioning

confidence: 99%

“…[4] However, less frequent causes of renal infarction include hypercoagulable disorders, sickle cell disease, cocaine abuse, vasculitis, fibromuscular dysplasia and idiopathic renal infarction. [5][6][7] We present an unusual case of idiopathic renal infarction in a young female.…”

Section: Introductionmentioning

confidence: 99%

An unusual cause of right lower abdominal pain in young female: A case report and review of literature

Priyambada

Joshi

Azhar

2016

CRIM

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Renal infarction is a serious medical emergency but its diagnosis is often delayed because it mimics many other conditions including renal stones, pyelonephritis, renal cancer and back pain. Early diagnosis as well as treatment is important for preventing recurrence of infarction and irreversible kidney damage. The most common causes of renal infarction are heart diseases leading to embolism, renal trauma and atheromatous disease. However, in some patients, the etiology remains unclear and is labeled as idiopathic renal infarction. We report an unusual case of right lower abdominal pain which was finally determined to idiopathic renal infarction after extensive investigation.

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“…The renal infarction is a rare disease, with an estimated incidence in Emergency Room (ER) of 0.004 to 0.007% [1][2][3]. In 1940, in a study involving more than 14,000 autopsies, Hoxie H and colleagues found 205 cases of renal infarction (1.4% prevalence) with only two cases being diagnosed during life.…”

Section: Introductionmentioning

confidence: 99%

“…This study indicated that a high number of patients with renal infarction were not correctly diagnosed [4]. The nonspecific clinical presentation, often similar to renal colic or pyelonephritis, is one of the main factors responsible for error or delay in diagnosis, leading to prolonged ischemia time and development of irreversible renal damage [1,5,6].…”

Section: Introductionmentioning

confidence: 99%