medigraphic.com
SPANISH

Revista Mexicana de Urología

Organo Oficial de la Sociedad Mexicana de Urología
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Authors instructions        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2008, Number 2

Rev Mex Urol 2008; 68 (2)

Conservatively Treated Renal Infarction Associated with Atrial Fibrillation and Mitral Stenosis. A Case Report from the 1ş de Octubre ISSSTE Regional Hospital

Venegas-Ocampo PJJ, Robles-Scott MA, Figueroa-Zarza M, Castellanos-Hernández H, Chávez-Martínez VH, Rojas-Esquivel MI, Echavarri-Arana JM, Landa-Soler M
Full text How to cite this article

Language: Spanish
References: 9
Page: 141-145
PDF size: 163.79 Kb.


Key words:

renal infarction, abdominal pain, atrial fibrillation, mitral stenosis.

ABSTRACT

Renal infarction is a rare condition first described by Traube in 1856. It is seldom identified in clinical practice and its incidence is underestimated. Renal irrigation is terminal due to the absence of collateral circulation, and can cause total or segmentary renal infarction. According to previous reports, auricular fibrillation was essential for making renal embolism diagnosis. This is now questionable, since series of patients have been reported with idiopathic renal embolism etiology, so-called because no thromboembolic risk has been identified. This article reports the case of a patient admitted to the emergency room with diffuse, predominantly left-side pain and with a history of auricular fibrillation, mitral stenosis and angina pectoris. Renal infarction was opportunely diagnosed and conservatively treated with excellent results.


REFERENCES

  1. Traube L. Uber den Zusammenhang von Herz und Nierenkrankheit. Berlin: A. Hirschwald, 1857:77.

  2. Hoxie HJ, Coggin CB. Renal infarction. Statistical study of two hundred and five cases and detailed report of an unusual case. Arch Int Med 1940;65:587-594.

  3. Frost L, Engholm G, Johnsen S, Moler H, Hennenberg EW. Incident thromboembolism in the aorta and the renal, mesenteric, pelvic, and extremity arteries after discharge from the hospital with the diagnosis of atrial fibrillation. Arch Intern Med 2001 Jan 22; 161(2):272-6.

  4. Bolderman R, Raymond O, Verrijcken A. Knockaert D, Vanderschueren S. Idiopathic Renal Infarction. Am J Med 2006 Apr; 119(4):356.e9- 356.e9-12.

  5. Domanovits H, Paulis M, Nikfardjam M, Meron G, Kürkciyan I, Bankier AA, Laggner AN. Acute renal infarction: clinical characteristics of 17 patients. Medicine (Baltimore). 1999; Nov 78(6):386-94.

  6. Lessman RK, Johnson SF, Coburn JW, Kaufman JJ. Renal arterial embolism. Clinical features and longterm follow-up of 17 cases. Ann Int Med 1978; Oct 89(4):477-82.

  7. Korzets Z, Plotkin E, Bernheim J, Zissin R. The clinical spectrum of acute renal infarction. Isr Med Assoc J 2002; Oct 4(10):781-4.

  8. Winzelberg GG, Hull JD, Agar JW, Rose BD, Pletka PG. Elevation of serum lactate dehydrogenase levels in renal infarction. JAMA 1979 Jul 20; 242:268-9.

  9. Moyer JD, Rao CN, Wildrich WC, Olsson CA. Conservative management of renal artery embolus. J Urol 1973 Feb; 109(2):138-43.




2020     |     www.medigraphic.com

Mi perfil

CÓMO CITAR (Vancouver)

Rev Mex Urol. 2008;68