Singh G, Dhawan R, Potteiger C E, Bedi A, Modesto T A, Gutknecht D R
Department of Internal Medicine, Geisinger Medical Center, Danville, PA, USA.
Angiology. 2001 Oct;52(10):717-20. doi: 10.1177/000331970105201009.
Acute embolic renal infarction is an entity that is often misdiagnosed as a renal calculus because of similar presenting symptoms. This leads to delay in the initiation of treatment and to increased morbidity. Few case reports exist relating cardiac emboli to acute renal infarction. The authors present a patient with a renal embolism secondary to left ventricular thrombus. A brief review of the literature highlighting the importance of clinical suspicion in making an accurate diagnosis, the utility of various diagnostic studies, and comparison of various treatment options is presented.
急性栓塞性肾梗死是一种常因症状相似而被误诊为肾结石的疾病。这会导致治疗开始延迟并增加发病率。关于心脏栓子与急性肾梗死相关的病例报告很少。作者报告了一例继发于左心室血栓的肾栓塞患者。本文简要回顾了文献，强调了临床怀疑在准确诊断中的重要性、各种诊断研究的实用性以及各种治疗选择的比较。
