Bouassida Khaireddine, Hmida Wissem, Zairi Amira, Hidoussi Adnen, Jaidane Mehdi, Slama Adel, Sorba Nebil Ben, Hani Khaled, Mosbah Ali Faouzi
Department of Urology, Hospital of Sahloul, Sousse, Tunisia.
J Med Case Rep. 2012 Jun 13;6:153. doi: 10.1186/1752-1947-6-153.
Renal infarct is rare and often misdiagnosed because the symptoms are misleading. The mechanisms are various, mainly thrombotic and embolic.
In this review, we report the case of a 61-year-old Tunisian woman presented to the emergency unit with a 4-hour history of abdominal pain diffused at both flanks, ultrasounds was performed to remove a surgical emergency, showed a peri-renal fluid collection with heterogeneous parenchyma.We followed by a CT scan, which confirmed the diagnosis of renal infarct. The patient was treated by heparin at a curative dose, and the outcome was favorable.
Diagnosis is difficult and should be considered in patients with inexplicable flank or abdominal pain and with risk factors to this disease. Our purpose is to raise clinician's awareness for this condition so that they will be more likely to diagnose it. This will facilitate prompt diagnosis and treatment.A review of the literature was performed and the case is discussed in the context of the current knowledge of this condition.
肾梗死较为罕见，且因其症状具有误导性，常被误诊。其发病机制多种多样，主要为血栓形成和栓塞。
在本综述中，我们报告了一名61岁突尼斯女性的病例，该患者因双侧胁腹弥漫性腹痛4小时就诊于急诊科。为排除外科急症进行了超声检查，结果显示肾周有液性聚集且肾实质不均匀。随后进行了CT扫描，确诊为肾梗死。患者接受了治疗剂量的肝素治疗，预后良好。
诊断困难，对于有不明原因胁腹或腹痛且有本病危险因素的患者应考虑该病。我们的目的是提高临床医生对这种疾病的认识，以便他们更有可能做出诊断。这将有助于及时诊断和治疗。我们进行了文献综述，并结合当前对该疾病的认识对该病例进行了讨论。
