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An acute renal infarction due to atrial fibrillation in a transplant patient: a case report

Year 2015, Volume: 1 Issue: 2, - , 17.09.2015

Tülin Akagün , Ayşe Artan Halil Yazıcı İşın Kılıçaslan Barış Bakır

https://doi.org/10.5606/fng.btd.2015.018

Abstract

Acute renal artery thromboembolism is a critical problem requiring rapid diagnosis and treatment. Most reports of renal infarction due to emboli are in patients with atrial fibrillation. Early diagnosis of renal artery thromboembolism is difficult. Patients with acute renal infarction typically complain of flank pain or generalized abdominal pain. Elevated peripheral white blood cell count, serum creatinine concentration and markedly elevated serum lactate dehydrogenase can be seen during renal infarction. In this case report, we describe a renal transplant recipient patient who developed an acute renal infarction due to atrial fibrillation.

Keywords: Acute renal infarction; atrial fibrillation; renal artery occlusion; renal artery thromboembolism; renal transplantation.

Keywords

Acute renal infarction; atrial fibrillation; renal artery occlusion; renal artery thromboembolism; renal transplantation

References

  • Cheng KL, Tseng SS, Tarng DC. Acute renal failure caused by unilateral renal artery thromboembolism. Nephrol Dial Transplant 2003;18:833-5.
  • Hazanov N, Somin M, Attali M, Beilinson N, Thaler M, Mouallem M, et al. Acute renal embolism. Forty- four cases of renal infarction in patients with atrial fibrillation. Medicine (Baltimore) 2004;83:292-9.
  • Tunick PA, Nayar AC, Goodkin GM, Mirchandani S, Francescone S, Rosenzweig BP, et al. Effect of treatment on the incidence of stroke and other emboli in 519 patients with severe thoracic aortic plaque. Am J Cardiol 2002;90:1320-5.
  • Lessman RK, Johnson SF, Coburn JW, Kaufman JJ. Renal artery embolism: clinical features and long-term follow-up of 17 cases. Ann Intern Med 1978;89:477-82.
  • Frost L, Engholm G, Johnsen S, Mİller H, Henneberg EW, Husted S. Incident thromboembolism in the aorta and the renal, mesenteric, pelvic, and extremity arteries after discharge from the hospital with a diagnosis of atrial fibrillation. Arch Intern Med 2001;161:272-6.
  • Roche-Nagle G, Rubin BB. Considerations in the diagnosis and therapy for acute loin pain. Am J Emerg Med 2009;27:254.
  • Iwasaki M, Joki N, Tanaka Y, Hara H, Suzuki M, Hase H. A suspected case of paradoxical renal embolism through the patent foramen ovale. Clin Exp Nephrol 2011;15:147-50.
  • Cimen S, Aslan G, Köseo¤lu H, Göktay Y, Yildiz S, Esen A. A rare case of acute renal infarction due to atrial fibrillation mimicking renal colic. Int Urol Nephrol 2005;37:791-2.
  • Lentine KL, Schnitzler MA, Abbott KC, Li L, Xiao H, Burroughs TE, et al. Incidence, predictors, and associated outcomes of atrial fibrillation after kidney transplantation. Clin J Am Soc Nephrol 2006;1:288-96.
  • Domanovits H, Paulis M, Nikfardjam M, Meron G, Kürkciyan I, Bankier AA, et al. Acute renal infarction. Clinical characteristics of 17 patients. Medicine (Baltimore) 1999;78:386-94.
  • Chu PL, Wei YF, Huang JW, Chen SI, Chu TS, Wu KD. Clinical characteristics of patients with segmental renal infarction. Nephrology (Carlton) 2006;11:336-40.
  • Winzelberg GG, Hull JD, Agar JW, Rose BD, Pletka PG. Elevation of serum lactate dehydrogenase levels in renal infarction. JAMA 1979;242:268-9.
  • Lessman RK, Johnson SF, Coburn JW, Kaufman JJ. Renal artery embolism: clinical features and long-term follow-up of 17 cases. Ann Intern Med 1978;89:477-82.

Böbrek nakilli hastada atriyal fibrilasyona bağlı akut renal infarkt: Olgu sunumu

Year 2015, Volume: 1 Issue: 2, - , 17.09.2015

Tülin Akagün , Ayşe Artan Halil Yazıcı İşın Kılıçaslan Barış Bakır

https://doi.org/10.5606/fng.btd.2015.018

Abstract

Akut renal arter tromboembolizmi hızlı tanı ve tedavi gerektiren kritik bir problemdir. Emboliye bağlı renal infarkt olgularının çoğunluğu atriyal fibrilasyonlu hastalarda görülmektedir. Renal arter tromboembolizminin erken tanısı zordur. Akut renal infarktlı hastaların tipik yakınmaları yan ağrısı ve yaygın karın ağrısıdır. Renal infarkt sırasında beyaz küre, serum kreatinin artışı ve belirgin yüksek laktat dehidrogenaz düzeyleri gözlenmektedir. Bu makalede biz, atriyal fibrilasyonlu bir böbrek nakilli hastada gelişen akut renal infarkt olgusunu sunmayı amaçladık

Keywords

Akut renal infarkt; atriyal fibrilasyon; renal arter tıkanıklığı; renal arter thromboembolizmi; böbrek nakli

References

  • Cheng KL, Tseng SS, Tarng DC. Acute renal failure caused by unilateral renal artery thromboembolism. Nephrol Dial Transplant 2003;18:833-5.
  • Hazanov N, Somin M, Attali M, Beilinson N, Thaler M, Mouallem M, et al. Acute renal embolism. Forty- four cases of renal infarction in patients with atrial fibrillation. Medicine (Baltimore) 2004;83:292-9.
  • Tunick PA, Nayar AC, Goodkin GM, Mirchandani S, Francescone S, Rosenzweig BP, et al. Effect of treatment on the incidence of stroke and other emboli in 519 patients with severe thoracic aortic plaque. Am J Cardiol 2002;90:1320-5.
  • Lessman RK, Johnson SF, Coburn JW, Kaufman JJ. Renal artery embolism: clinical features and long-term follow-up of 17 cases. Ann Intern Med 1978;89:477-82.
  • Frost L, Engholm G, Johnsen S, Mİller H, Henneberg EW, Husted S. Incident thromboembolism in the aorta and the renal, mesenteric, pelvic, and extremity arteries after discharge from the hospital with a diagnosis of atrial fibrillation. Arch Intern Med 2001;161:272-6.
  • Roche-Nagle G, Rubin BB. Considerations in the diagnosis and therapy for acute loin pain. Am J Emerg Med 2009;27:254.
  • Iwasaki M, Joki N, Tanaka Y, Hara H, Suzuki M, Hase H. A suspected case of paradoxical renal embolism through the patent foramen ovale. Clin Exp Nephrol 2011;15:147-50.
  • Cimen S, Aslan G, Köseo¤lu H, Göktay Y, Yildiz S, Esen A. A rare case of acute renal infarction due to atrial fibrillation mimicking renal colic. Int Urol Nephrol 2005;37:791-2.
  • Lentine KL, Schnitzler MA, Abbott KC, Li L, Xiao H, Burroughs TE, et al. Incidence, predictors, and associated outcomes of atrial fibrillation after kidney transplantation. Clin J Am Soc Nephrol 2006;1:288-96.
  • Domanovits H, Paulis M, Nikfardjam M, Meron G, Kürkciyan I, Bankier AA, et al. Acute renal infarction. Clinical characteristics of 17 patients. Medicine (Baltimore) 1999;78:386-94.
  • Chu PL, Wei YF, Huang JW, Chen SI, Chu TS, Wu KD. Clinical characteristics of patients with segmental renal infarction. Nephrology (Carlton) 2006;11:336-40.
  • Winzelberg GG, Hull JD, Agar JW, Rose BD, Pletka PG. Elevation of serum lactate dehydrogenase levels in renal infarction. JAMA 1979;242:268-9.
  • Lessman RK, Johnson SF, Coburn JW, Kaufman JJ. Renal artery embolism: clinical features and long-term follow-up of 17 cases. Ann Intern Med 1978;89:477-82.
There are 13 citations in total.

Details

Primary Language English
Journal Section Case Reports
Authors

Tülin Akagün

Ayşe Artan This is me

Halil Yazıcı This is me

İşın Kılıçaslan This is me

Barış Bakır This is me

Publication Date September 17, 2015
Published in Issue Year 2015 Volume: 1 Issue: 2

Cite

APA Akagün, T., Artan, A., Yazıcı, H., Kılıçaslan, İ., et al. (2015). An acute renal infarction due to atrial fibrillation in a transplant patient: a case report. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi, 1(2). https://doi.org/10.5606/fng.btd.2015.018
AMA Akagün T, Artan A, Yazıcı H, Kılıçaslan İ, Bakır B. An acute renal infarction due to atrial fibrillation in a transplant patient: a case report. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi. September 2015;1(2). doi:10.5606/fng.btd.2015.018
Chicago Akagün, Tülin, Ayşe Artan, Halil Yazıcı, İşın Kılıçaslan, and Barış Bakır. “An Acute Renal Infarction Due to Atrial Fibrillation in a Transplant Patient: A Case Report”. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi 1, no. 2 (September 2015). https://doi.org/10.5606/fng.btd.2015.018.
EndNote Akagün T, Artan A, Yazıcı H, Kılıçaslan İ, Bakır B (September 1, 2015) An acute renal infarction due to atrial fibrillation in a transplant patient: a case report. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi 1 2
IEEE T. Akagün, A. Artan, H. Yazıcı, İ. Kılıçaslan, and B. Bakır, “An acute renal infarction due to atrial fibrillation in a transplant patient: a case report”, İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi, vol. 1, no. 2, 2015, doi: 10.5606/fng.btd.2015.018.
ISNAD Akagün, Tülin et al. “An Acute Renal Infarction Due to Atrial Fibrillation in a Transplant Patient: A Case Report”. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi 1/2 (September 2015). https://doi.org/10.5606/fng.btd.2015.018.
JAMA Akagün T, Artan A, Yazıcı H, Kılıçaslan İ, Bakır B. An acute renal infarction due to atrial fibrillation in a transplant patient: a case report. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi. 2015;1. doi:10.5606/fng.btd.2015.018.
MLA Akagün, Tülin et al. “An Acute Renal Infarction Due to Atrial Fibrillation in a Transplant Patient: A Case Report”. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi, vol. 1, no. 2, 2015, doi:10.5606/fng.btd.2015.018.
Vancouver Akagün T, Artan A, Yazıcı H, Kılıçaslan İ, Bakır B. An acute renal infarction due to atrial fibrillation in a transplant patient: a case report. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi. 2015;1(2).
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