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
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ABSTRACTRenal 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.