PDF(Pubmed)
Abstract：
Renal infarction is a rare pathology, threatening the functional prognosis of the kidney. Given the lack of clinical features specific to this pathology, the practitioner may wrongly diagnose pyelonephritis or other causes of abdominal pain. Renal infarction frequently occurs in patients with thromboembolic risk factors, most often secondary to atrial fibrillation. We report the case of a 49-year-old patient, with no previous history, who presented to the emergency room with palpitations and pain in the right flank with an atrial fibrillation rhythm on the ECG, in whom abdominal CT angiography showed signs of a focal renal infarction of the right kidney. Later, the progression was towards non-traumatic macroscopic hematuria with preservation of normal renal function, which resolved spontaneously after a few days. AF was accepted in the face of significant dilatation of the left atrium, in consultation with the patient, and he was put on a beta-blocker to control the rate. Renal infarction must be considered despite its rarity to initiate adequate treatment and increase the chances of renal rescue.
摘要：
肾梗死是一种罕见的病理，威胁肾脏的功能预后。鉴于缺乏这种病理特有的临床特征，医生可能会错误地诊断出肾盂肾炎或其他原因引起的腹痛。肾梗死常发生于有血栓栓塞危险因素的患者,最常继发于心房颤动。我们报道了一个49岁的病人,没有以前的历史，出现心悸和右侧腹部疼痛，心电图上有心房颤动节律，其中腹部CT血管造影显示右肾局灶性肾梗塞的征象。稍后，进展为保持正常肾功能的非创伤性肉眼血尿，几天后自发解决。房颤在左心房明显扩张的情况下被接受，在与患者协商后，他服用了β受体阻滞剂来控制心率。尽管罕见，但必须考虑肾梗死，以开始适当的治疗并增加肾脏抢救的机会。
