Idiopathic Renal Infarction Mimicking Appendicitis.
Marco Di SerafinoRosa SeverinoChiara GullottoFrancesco LisantiEnrico ScaranoPublished in: Case reports in emergency medicine (2017)
Renal infarction is a rare cause of referral to the emergency department, with very low estimated incidence (0.004%-0.007%). Usually, it manifests in patients aged 60-70 with risk factors for thromboembolism, mostly related to heart disease, atrial fibrillation in particular. We report a case of idiopathic segmental renal infarction in a 38-year-old patient, presenting with acute abdominal pain with no previous known history or risk factors for thromboembolic diseases. Because of its aspecific clinical presentation, this condition can mimic more frequent pathologies including pyelonephritis, nephrolithiasis, or as in our case appendicitis. Here we highlight the extremely ambiguous presentation of renal infarct and the importance for clinicians to be aware of this condition, particularly in patients without clear risk factors, as it usually has a good prognosis after appropriate anticoagulant therapy.
Keyphrases
- atrial fibrillation
- emergency department
- end stage renal disease
- risk factors
- newly diagnosed
- ejection fraction
- chronic kidney disease
- prognostic factors
- case report
- heart failure
- stem cells
- peritoneal dialysis
- primary care
- venous thromboembolism
- abdominal pain
- liver failure
- acute coronary syndrome
- left atrial appendage
- left ventricular
- mitral valve
- left atrial
- replacement therapy
- direct oral anticoagulants
- smoking cessation
- mechanical ventilation