Abstract
Renal infarction is a common clinical problem and often misdiagnosed because the symptoms are subtle. We are presented our patient who applicant with left flank pain and diagnosed renal infarction. 49-year-old male patient has come with 2 days of severe left flank. Pathologic were; left costovertebral angle tenderness, creatinine: 1.3 mg/dL, C reactive protein: 11.4 mg/dL. On Computed Tomography Angiography renal arteries there was no contrast matter transmission to left arcuat artery distale and there were ischemic regions. With renal infarction diagnose, patient was hospitalized. Organized thrombosis seen inside apical left ventricular aneurysm with transesophageal ecocardiography Patient was discharged from hospital with plannings of policlinic controls for INR follow-ups. We want to emphasize that it should be kept in mind that the diagnosis of renal infarction in the clinical management of patients with flank pain.
Highlights
One of the most common cause of renal artery thrombosis is thromboembolic events originated from heart or aorta
Renal infarction must be kept in mind as a differantial diagnosis in the cases presented with severe flank pain
Leucocytosis, haematuria and proteinuria can be seen with symptoms like fever, nausea and vomiting
Summary
One of the most common cause of renal artery thrombosis is thromboembolic events originated from heart or aorta. Spontaneous renal artery thrombosis is quite rare. Renal artery thrombosis are generally due to blunt abdominal trauma and atherosclerotic lesions from renal arteries [1]. Case reports related with renal infarctions were reported in the literature such as possibly connected with polisitemia vera, pregnancy, hypercoagulability, renal transplants, intraabdominal balloon insertion, renal angiography, oral contraceptives, intravenosus cocain usage, nephrotic syndrome, systemic lupus erythematosus, renovascular hypertension, infective endocarditis, Ehler-Danlos syndrome and renal surgery [2,3,4,5,6,7,8]. The diagnosis of renal infarction as a rarely seen clinical problem can be difficult. Renal infarction must be kept in mind as a differantial diagnosis in the cases presented with severe flank pain. We are aimed for to present our case presented with severe flank pain and diagnosed as renal infarction
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