Document Type : Case Report
Authors
1 Emergency Medicine Department, Fujairah Hospital, Fujairah, United Arab Emirates
2 Department of Internal Medicine, Aga Khan University Hospital, Karachi, Pakistan
Abstract
Objective: Renal infarction which is a rare phenomenon can be missed on the patient’s work up making its incidence low.
Case Presentation: We report a 68-year-old lady with known history of hypertension presented with epigastric pain and vomiting for 4 days. During her stay in the emergency room, she developed sudden onset of left-sided weakness. Electrocardiogram was normal sinus rhythm. Computed tomography scan of the abdomen showed acute pancreatitis with partial impingement of superior mesenteric vein.
Conclusion: Imaging s showed cholelithiasis without evidence of cholecystitis and lower pole right renal infarct likely secondary to obstruction of the right lower renal artery due to calcified plaques at their origin from the aorta. Subsequently, the patient was kept on antiplatelets and planned for discharge uneventfully.
Keywords
Main Subjects
kidney infarction and hypertension. J Hypertens 2006; 24(8): 1649-54. doi: 10.1097/01.hjh.0000239302.55754.1f.
2. Frost L, Engholm G, Johnsen S, Møller H, HennebergEW, Husted S. Incident thromboembolism in the aorta
and the renal, mesenteric, pelvic, and extremity arteries after discharge from the hospital with a diagnosis of atrial
fibrillation. Arch Intern Med 2001; 161(2): 272-6. doi:10.1001/archinte.161.2.272.
3. Ivanovic V, McKusick MA, Johnson CM 3rd, Sabater EA, Andrews JC, Breen JF, et al. Renal artery stent placement:
complications at a single tertiary care center. J Vasc Interv Radiol 2003; 14(2 Pt 1): 217-25. doi: 10.1097/01.rvi.0000058324.82956.2a.
4. Böckler D, Krauss M, Mansmann U, Halawa M, Lange R, Probst T, et al. Incidence of renal infarctions after endovascular AAA repair: relationship to infrarenal versus suprarenal fixation. J Endovasc Ther 2003; 10(6): 1054-60.
doi: 10.1177/152660280301000605.
5. Stawicki SP, Rosenfeld JC, Weger N, Fields EL, Balshi JD. Spontaneous renal artery dissection: three cases and clinical
algorithms. J Hum Hypertens 2006; 20(9): 710-8. doi:10.1038/sj.jhh.1002045.