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左心室血栓导致的急性肾梗死:关于一例罕见病例及文献分析

Acute renal infarction due to left ventricular thrombus: About a rare case and literature analysis.

作者信息

Moudane Anouar El, Ahmed Yacoub, Boukhannous Ibrahim, Motaouakil Abdessamade, Mokhtari Mohamed, Barki Ali

机构信息

Department of Urology, Mohamed VI University Hospital Center, Mohamed I University, Oujda, 62000, Morocco.

出版信息

Urol Case Rep. 2021 Oct 28;40:101922. doi: 10.1016/j.eucr.2021.101922. eCollection 2022 Jan.

DOI:10.1016/j.eucr.2021.101922
PMID:34778002
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8577442/
Abstract

Renal infarction is a rare pathology, with a serious threat to the functional prognosis of the kidney. Because of its nonspecific clinic presentation, renal infarction is often misdiagnosed as renal colic and pyelonephritis or any etiology of abdominal pain. Embolic Renal infarction occurs commonly in a patient with the risk factors of thromboembolic with heart diseases especially atrial fibrillation. It's important to be aware of this condition to initiate treatment to increase the chance of renal salvage. We report a patient with a renal infarction due to the emboli from left ventricular thrombus with a brief review of the literature.

摘要

肾梗死是一种罕见的病理情况,对肾脏的功能预后构成严重威胁。由于其临床表现不具特异性,肾梗死常被误诊为肾绞痛、肾盂肾炎或任何腹痛病因。栓塞性肾梗死常见于有血栓栓塞风险因素的患者,尤其是患有心脏病(特别是心房颤动)的患者。认识到这种情况对于启动治疗以增加挽救肾脏的机会很重要。我们报告一例因左心室血栓形成栓子导致肾梗死的患者,并对相关文献进行简要综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e80c/8577442/126a357729c4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e80c/8577442/fa77e7274837/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e80c/8577442/126a357729c4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e80c/8577442/fa77e7274837/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e80c/8577442/126a357729c4/gr2.jpg

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Urol Case Rep. 2021 Oct 28;40:101922. doi: 10.1016/j.eucr.2021.101922. eCollection 2022 Jan.
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引用本文的文献

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Cureus. 2024 Apr 14;16(4):e58273. doi: 10.7759/cureus.58273. eCollection 2024 Apr.

本文引用的文献

1
Acute renal infarction: A diagnostic challenge.急性肾梗死:诊断难题。
Am J Emerg Med. 2018 Jul;36(7):1325.e1-1325.e2. doi: 10.1016/j.ajem.2018.04.018. Epub 2018 Apr 19.
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Renal infarction.肾梗死
Int J Nephrol Renovasc Dis. 2012;5:119-23. doi: 10.2147/IJNRD.S33768. Epub 2012 Sep 3.
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Renal infarction in the ED: 10-year experience and review of the literature.急诊科肾梗死:10 年经验及文献回顾。
Am J Emerg Med. 2012 Sep;30(7):1055-60. doi: 10.1016/j.ajem.2011.06.041. Epub 2011 Aug 25.
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Acute renal embolism. Forty-four cases of renal infarction in patients with atrial fibrillation.急性肾栓塞。44例心房颤动患者发生肾梗死。
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