Eltawansy Sherif Ali, Patel Shil, Rao Mana, Hassanien Samaa, Maniar Mihir
Department of Internal Medicine, Monmouth Medical Center, 300 Second Avenue, Long Branch, NJ 07740, USA.
Department of Medicine, Cairo University Medical School, Cairo 11562, Egypt.
Case Rep Emerg Med. 2014;2014:981409. doi: 10.1155/2014/981409. Epub 2014 Dec 29.
We report an 85-year-old female with known history of recurrent diverticulitis presented with abdominal pain. It was believed that the patient again needed to be treated for another diverticulitis and was started on the routine treatment. The initial CT scan of abdomen showed renal infarcts bilaterally that were confirmed by a CT with and without intravenous contrast secondary to unknown cause. An ECG found accidentally that the patient was in atrial fibrillation, which was the attributed factor to the renal infarctions. Subsequently, the patient was started on the appropriate anticoagulation and discharged.
我们报告了一位85岁有复发性憩室炎病史的女性，她因腹痛前来就诊。据信该患者再次需要针对另一次憩室炎进行治疗，并开始了常规治疗。最初的腹部CT扫描显示双侧肾梗死，通过有无静脉造影剂的CT检查得到证实，病因不明。一次偶然的心电图检查发现患者处于心房颤动状态，这是导致肾梗死的归因因素。随后，患者开始接受适当的抗凝治疗并出院。
