酷似肾绞痛的栓塞性肾梗死
Embolic renal infarction mimicking renal colic.
作者信息
Mahamid Mahmud, Francis Adi, Abid Ali, Awawde Mohammed, Abu-Elhija Omar
机构信息
Department of Internal Medicine, Bar-Ilan University, Nazareth, Israel ; Digestive Disease Institute, Liver Unit, Shaare Zedek Medical Center, Jerusalem, Israel.
Cardiac Care Unit, Holy Family Hospital, Bar-Ilan University, Nazareth, Israel.
出版信息
Int J Nephrol Renovasc Dis. 2014 Apr 30;7:157-9. doi: 10.2147/IJNRD.S59745. eCollection 2014.
Atrial fibrillation is a major health problem with risk of systemic arterial embolism. Acute embolic renal infarction is a rare condition with symptoms that are often nonspecific. We present a 36-year-old previously healthy man with acute embolic renal infarction secondary to new onset atrial fibrillation, who presented with flank pain mimicking renal colic. The patient was treated successfully with anticoagulation therapy, beta-blockers, broad-spectrum antibiotics, and supportive treatment.
心房颤动是一个存在系统性动脉栓塞风险的重大健康问题。急性栓塞性肾梗死是一种罕见病症，其症状通常不具有特异性。我们报告一例36岁既往健康男性，因新发心房颤动继发急性栓塞性肾梗死，表现为类似肾绞痛的胁腹疼痛。该患者通过抗凝治疗、β受体阻滞剂、广谱抗生素及支持治疗获得成功救治。
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