Mehmet GÜL, Zerrin Defne DÜNDAR, Murat AYAN, Başar CANDER, Abdüsselam SEYDANOĞLU, İnan BEYDİLLİ

Farklı İki Etiyolojiye Bağlı Renal İnfarkt: İki Olgu Sunumu

Renal infarction is a rare clinical problem and it is frequently misdiagnosed because of the nonspecificity of its symptoms. We present two cases of renal infarction with two different etiologies. The first case was a 43-year-old male who attended the emergency department for pain in the left flank. A contrast-enhanced abdominal computed tomography scan was performed due to the persistent pain, and the segmental renal infarction was detected. The second case, a 6-year-old girl, was hospitalized due to falling from a height of 8 meters. Traumatic renal infarction was detected in the abdominal computed tomography scan which was performed during the assessment for multiple traumas. Both patients were followed-up conservatively and discharged from the hospital without any renal complications. The diagnosis of renal infarction is generally based on the clinical suspicion. Emergency physicians should keep renal infarction in mind during the management of the patients with abdominal, back or flank pain.

Anahtar Kelimeler:

Renal infarction, trauma, abdominal pain, flank pain

Renal Infarction with two Different Etiologies: Two Case Reports

Keywords:

Renal infarction, trauma, abdominal pain, flank pain,

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Huang CC, Lo HC, Huang HH, Kao WF, Yen DH, Wang LM, et al. ED presentations of acute renal infarction. Am J Emerg Med. 2007; 25: 164-9. [CrossRef]
Domanovits H, Paulis M, Nikfardjam M, Meron G, Kürkciyan I, Bankier AA, et al. Acute renal in-farction. Clinical characteristics of 17 patients. Medicine (Baltimore). 1999; 78: 386-94. [CrossRef]
Chu PL, Wei YF, Huang JW, Chen SI, Chu TS, Wu KD. Clinical characteristics of patients with seg-mental renal infarction. Ne- phrology (Carlton). 2006; 11: 336-40. [CrossRef]
Romano S, Scaglione M, Gatta G, Lombardo P, Stavolo C, Ro- mano L, et al. Association of splenic and renal infarctions in acute abdominal emergencies. Eur J Radiol. 2004; 50: 48-58. [CrossRef]
Elitok A, Yılmaz C, Karakaya D, Barman A, Vatansever S, Akkaya V, et al. Unilateral renal artery thromboembolism in a patient with atrial fibrillation. İst Tıp Fak Derg. 2005; 68: 53-5.
Huang CC, Kao WF, Yen DH, Huang HH, Huang CI, Lee CH. Re- nal infarction without hematuria: two case reports. J Emerg Med. 2006; 30: 57-61. [CrossRef]
Furaz K, Bernis Carro C, Cirugeda García A, Pérez de José A, Sán- chez Tomero JA. Renal infarction and acute renal failure induced by cocaine. Nefrologia. 2008; 28: 347-9.
Kang KP, Lee S, Kim W, Jin GY, Na KR, Yun IY, et al. Renal in- farction resulting from traumatic renal artery dissection. Korean J Intern Med. 2008; 23: 103-5. [CrossRef]