RENAL ARTERY EMBOLISM DIAGNOED BY ABDOMINAL CT AND SUCCESSFULLY MANAGED CONSERVATIVELY AFTER THIRTY-SIX HOURS: A CASE REPORT.
Firas Al Ahmari
, Saud Erwi
, Ali M Alfageeh
, Masoud Awad Alqahtani
, Nasser Alhamzi
and Mohammed Saeed Hazzazi.
- Internal medicine Department.
- Clinical pathology Department; Armed Forces Hospital Jizan.
- Abstract
- Keywords
- References
- Cite This Article as
- Corresponding Author
Renal artery embolism (RAE) is rarely reported in the literature and is easily missed due to its nonspecific presentations. We report A 67-year-old woman presented with picture suggestive of right renal colic and proved after 36 hours of her onset of symptoms as Renal artery embolism (RAE). Pelvi-abdomenal Contrast-enhanced CT revealed a normal sized nonvasularized right kidney. Patient was managed conservatively with drug therapy in the form of full dose of anticoagulant therapy ( LMW Heparin). We conclude that RAE is not uncommon event and should suspected in old patient with Lion pain. contrast enhanced abdominal CT is fast, and an appropriate choice for the diagnosis of RAE. Moreover anticoagulant therapy is preferred approach with acceptable outcome to avoid unnecessary invasive surgical intervention.
- Chu PL, Wei YF, Huang JW, Chen SI, Chu TS,Wu KD. Clinical characteristics of patients with segmentalrenal infarction. Nephrology (Carlton) 2006;11(4):336-40.
- Domanovits H, Paulis M, Nifkardjam M, Meron G, Kurkciyan I, Bankier AA, Laggner AN. Acute renal infarction. Clinical characteristics of 17 patients. Medicine (Baltimore). 1999;78:386?394.
- Korzets Z, Plotkin E, Bernheim J, Zissin R. The clinical spectrum of acute renal infarction. Isr Med Assoc J. 2002;4:781?784.
- Lope z VM, Glauser J. A case of renal artery thrombosis with renal infarction. J Emerg Trauma Shock 2010;3(3):302.
- Hazanov N, Somin M, Attali M, et al. Acute renal embolism: forty-four cases of renal infarction in patients with atrial fibrillation. Medicine (Baltimore) 2004;83(5):292-9.
- Cheng BC, Ko SF, Chuang FR, Lee CH, Chen JB, Hsu KT. Successful management of acute renal artery thromboembolism by intra-arterial thrombolytic therapy with recombinant tissue plasminogen activator. Ren Fail 2007;25(4):665-70.
- Hoxie HJ, Coggin CB. Renal infarction: Statistical study of two hundred and five cases and detailed report of an unusual case. Arch Intern Med 1940; 65: 587-594
- Fort J, Camps J, Ru?z P,et al.?Renal artery embolism successfully revascularized by surgery after 5 days' anuria Is it never too late Nephrol Dial Transplant 1996; 11: 1843-5.
- Piffaretti G, Riva F, Tozzi M, et al. Thrombolysis for acute renal artery thrombosis: report of 4 cases. Vasc Endovasc Surg 2008;42(4):375-9.
- Lessman RK, Johnson SF, Kaufman JJ. Renal artery embolism: clinical features and long term follow up of 17 cases. Ann Intern Med. 1978; 89:477?482.
- Gasparini M, Hofmann R, Stoller M. Renal artery embolism: clinical features and therapeutic options J Urol 1992; 147: 567-72.
- Lacombe M. Surgical versus medical treatment of renal artery embolism J Cardiovas Surg 1977; 18: 281.
- Hobarth K. Kratzik CH, Schurawitzki H. Diagnosis of renal artery occlusion by duplex sonography and successful lysis therapy. Urol Int 1991; 47: 136-159
- Gluck G, Croitoru M, Deleanu D, Platon P. Local thrombolytic treatment for renal arterial embolism. Eur Urol 2000;38(3):339-43.
- Robinson S, Nicholas D, MacLeod A, Duncan J. Acute renal artery embolism: a case report and brief literature review. Ann Vasc Surg 2008;22(1):145-7.
[Firas Al Ahmari, Saud Erwi, Ali M Alfageeh, Masoud Awad Alqahtani, Nasser Alhamzi and Mohammed Saeed Hazzazi. (2017); RENAL ARTERY EMBOLISM DIAGNOED BY ABDOMINAL CT AND SUCCESSFULLY MANAGED CONSERVATIVELY AFTER THIRTY-SIX HOURS: A CASE REPORT. Int. J. of Adv. Res. 5 (Nov). 1287-1291] (ISSN 2320-5407). www.journalijar.com
Armed Forces Hospital Southern Region, Armed Forces Hospital Jizan
