Decoste Ryan, Himmelman Jeffrey G, Grantmyre John
Dalhousie University Medical School, Halifax, NS;
Dalhousie University Department of Urology, Halifax, NS.
Can Urol Assoc J. 2015 Mar-Apr;9(3-4):E237-9. doi: 10.5489/cuaj.2466.
Acute renal infarction is a rare clinical entity most commonly occurring as a result of a thromboembolic event in patients with predisposing risk factors. Its non-specific presentation can lead to delayed or missed diagnosis. However, modern imaging technology has allowed for the diagnosis of renal infarction to be made earlier in its clinical course. Due to its rare nature, treatment guidelines do not exist. We report a case of acute renal infarction identified on computed tomography scan in a patient with no known predisposing factors to thromboembolism that was treated through suction thrombectomy.
急性肾梗死是一种罕见的临床病症,最常见于具有易患风险因素的患者发生血栓栓塞事件时。其非特异性表现可能导致诊断延迟或漏诊。然而,现代成像技术已使肾梗死能够在临床病程中更早地被诊断出来。由于其罕见性,目前尚无治疗指南。我们报告一例通过计算机断层扫描发现的急性肾梗死病例,该患者无已知的血栓栓塞易患因素,通过抽吸血栓切除术进行了治疗。