24 November 2015 : Case report
Challenging differential diagnosis, Diagnostic / therapeutic accidents, Unusual setting of medical care, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis), Rare coexistence of disease or pathologySihyung ParkEF, Ga Hee LeeEF, Kyubok JinEF, Kang Min ParkF, Yang Wook KimEF, Bong Soo ParkAEF
Am J Case Rep 2015; 16:832-836
BACKGROUND: Acute renal infarction is an uncommon condition resulting from an obstruction or a decrease in renal arterial blood flow. Isolated spontaneous renal artery intramural hematoma is a rare cause of renal infarction.
CASE REPORT: A 46-year-old healthy man presented to our emergency room because of sudden onset of severe right flank pain. An enhanced abdominal computed tomography scan showed a low-attenuated lesion in the lateral portion of the right kidney but no visible thromboembolisms in the main vessels. Computed tomography angiography revealed acute infarction resulting from intramural hematoma of the anterior segmental artery of the right kidney, with distal occlusion.
CONCLUSIONS: The rarity and non-specific clinical presentation of renal infarction often lead to a delayed diagnosis that may result in impaired renal function. Clinical suspicion is important in the early diagnosis, and intramural hematoma of the renal artery should be considered the cause of renal infarction even in healthy patients without predisposing factors.
Keywords: Aneurysm, Dissecting - diagnosis, Diagnosis, Differential, Hematoma - diagnosis, Infarction - etiology, Kidney - blood supply, Renal Artery, Tomography, X-Ray Computed
05 Feb 2024 : Case reportSuccessful Thrombectomy of the Posterior Cerebral Artery P2 Segment in a 61-Year-Old Man with Acute Ischaem...
Am J Case Rep In Press; DOI: 10.12659/AJCR.941441
18 Jan 2024 : Case reportA Rare Case of Donor-Derived Renal Cell Carcinoma in a Kidney Transplant Recipient
Am J Case Rep In Press; DOI: 10.12659/AJCR.941214
27 Feb 2024 : Case reportEnhanced Diagnostic Capabilities: Ultrasound Imaging of Fetal Alimentary Tract Obstruction with Advanced Im...
Am J Case Rep In Press; DOI: 10.12659/AJCR.943419
Most Viewed Current Articles
10 Jan 2022 : Case reportA Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV...
Am J Case Rep 2022; 23:e935263
19 Jul 2022 : Case reportAtlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19
Am J Case Rep 2022; 23:e936128
05 Mar 2022 : Case reportAcute Limb Ischemia After Self-Injection of Crushed Morphine Tablets into the Radial Artery: Role of Infrar...
Am J Case Rep 2022; 23:e935336