J Korean Soc Emerg Med.  2003 Jun;14(2):198-201.

Asynchronous Bilateral Renal Infarction with Atrial Fibrillation Korea

• Jin HC
• Lee SR
• Ryu SY
• Kim HY

Abstract

Acute renal infarction is an uncommon disease which is often delayed or missed due to its rarity and unspecific clinical presentations. Most patients have an underlying disease or embolic event that can be detected easily by history and physical examination. The frequently noted symptoms include flank, abdominal, and back pain, as well as nausea. The pain is usually acute, severe, and sharp in nature without radiation. The most sensitive laboratory test is lactate dehydrogenase. Angiography, renal scintigraphy, IVP (intravenous pyelography), sonography and, CT (computed tomography) can be used in diagnosing renal infarction. However, CT is more preferred for the diagnosis of renal infarction because it has the advantages of easy accessability and noninvasiveness. Once diagnosed, conservative treatment with intra-arterial infusion of thrombolytics or heparin appears to be the most favorable modality. We report a 82-year-old male with asynchronous bilateral renal infarctions associated with atrial fibrillation and coronary artery disease. His clinical status improved during admission without any events.

Keyword

Renal infarction; Renal artery occlusion

MeSH Terms

Aged, 80 and over
Angiography
Atrial Fibrillation*
Back Pain
Coronary Artery Disease
Diagnosis
Heparin
Humans
Infarction*
Infusions, Intra-Arterial
Korea*
L-Lactate Dehydrogenase
Male
Nausea
Physical Examination
Radionuclide Imaging
Heparin
L-Lactate Dehydrogenase