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A case of renal artery thrombosis with renal infarction

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Author(s): Lopez Valerie | Glauser Jonathan

Journal: Journal of Emergencies, Trauma and Shock
ISSN 0974-2700

Volume: 3;
Issue: 3;
Start page: 302;
Date: 2010;
Original page

Keywords: Flank pain | renal infarction | thrombosis

ABSTRACT
Renal artery thrombosis is a rare, but serious and often misdiagnosed, condition. Emergency physicians and other physicians need to consider this diagnosis in unexplained flank pain, especially in patients with risk factors for this disease. In this case report, the authors review a case of renal infarction caused by renal artery thrombosis in a patient with risk factors for thrombosis but no previous history of thromboembolism. A review of scholarly articles was performed and the case is discussed in the context of the current knowledge of this condition. Common presenting symptoms, features of the history and risk factors will all be discussed herein. Diagnostic evaluation of flank pain in the setting of the suspicion of renal infarction will be discussed, including the modalities of high-resolution computed tomography, renal angiography, scintography and ultrasound. Acute management and prognosis will also be discussed.
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