A rare cause of pain abdomen—renal artery thrombosis with renal infarct

We report here a case of 56-year-old male presented to emergency with acute onset severe abdominal pain in right lumbar region and with significant past history diabetes mellitus and ischemic heart disease on regular medication, investigation revealed deranged urea and creatinine, and ultrasound abd...

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Bibliographic Details
Published in:The Egyptian journal of internal medicine 2023-07, Vol.35 (1), p.50-3, Article 50
Main Authors: Saikiran, D., Srinivas, V. K., Kumar, R. S. Vasantha, Sunil, Nilu, Harismitha, M.
Format: Article
Language:English
Subjects:
Abdomen
Anticoagulants
Blood clots
Case Report
Catheters
Creatinine
Emergency medical care
Hematuria
Hemoglobin
Hypertension
Insulin
Internal Medicine
Kidneys
Medicine
Medicine & Public Health
Pain
Patients
Thromboembolism
Thrombosis
Tomography
Trauma
Veins & arteries
Vomiting
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Summary:We report here a case of 56-year-old male presented to emergency with acute onset severe abdominal pain in right lumbar region and with significant past history diabetes mellitus and ischemic heart disease on regular medication, investigation revealed deranged urea and creatinine, and ultrasound abdomen and pelvis and computed tomography abdomen and pelvis showed no significant abnormalities; in view of persistent symptoms, computed tomography angiogram was done which revealed multiple right renal infarct, secondary to renal artery thrombosis. Renal angiogram revealed right renal segmental artery thrombus, which was successfully treated by catheter-directed thrombolysis and anticoagulants. Post thrombolysis symptoms and renal parameters improved.
ISSN:2090-9098
1110-7782
2090-9098
DOI:10.1186/s43162-023-00230-3