Keinath Kyle, Church Tyler, Fogarty Brian, Sadowski Brett, Perkins Jeremy
Internal Medicine, Walter Reed National Military Medical Center, Bethesda, Maryland, USA.
Hematology-Oncology, Walter Reed National Military Medical Center, Bethesda, Maryland, USA.
BMJ Case Rep. 2017 Nov 8;2017:bcr-2017-221375. doi: 10.1136/bcr-2017-221375.
Renal infarction is a rare occurrence accounting for 0.007% of patients seen in the emergency department for renal insufficiency or hypertension. Dysfibrinogenemia is also rare, and the combination of renal artery infarct in the setting of congenital dysfibrinogenemia has not been described in the literature. Our patient, with a remote history of congenital dysfibrinogenemia with no known haemorrhagic or thrombotic complications, presented with acute flank pain and was subsequently diagnosed with an acute renal arterial infarction. He was treated with subcutaneous enoxaparin and then transitioned to lifelong anticoagulation with rivaroxaban therapy.
肾梗死是一种罕见病症，在因肾功能不全或高血压而到急诊科就诊的患者中占0.007%。异常纤维蛋白原血症也很罕见，先天性异常纤维蛋白原血症情况下的肾动脉梗死组合在文献中尚未见描述。我们的患者有先天性异常纤维蛋白原血症的既往史，无已知出血或血栓形成并发症，出现急性侧腹痛，随后被诊断为急性肾动脉梗死。他接受了皮下注射依诺肝素治疗，然后转为使用利伐沙班进行终身抗凝治疗。
