Kato Akira, Sato Nobuhiro, Hirose Yasuo, Nomoto Yuji, Ozaki Seiga, Yamaga Saori, Yabe Masahiro
Department of Emergency and Critical Care Medicine, Niigata City General Hospital, 463-7 Shumoku, Chuo-Ku, Niigata, Niigata, 950-1197, Japan.
Department of General Care Medicine, Niigata City General Hospital, 463-7 Shumoku, Chuo-Ku, Niigata, Niigata, 950-1197, Japan.
J Med Case Rep. 2024 Jan 28;18(1):34. doi: 10.1186/s13256-024-04347-z.
Hiccups are common symptoms that last for less than 48 hours. However, we encountered a case of renal infarction in a patient with prolonged hiccup. The relationship between hiccups and renal infarction is important in differentiating patients with prolonged hiccups.
An 87-year-old Japanese man with atrial fibrillation and receiving antithrombotic therapy presented to the emergency department with prolonged hiccups. The patient discontinued antithrombotic therapy for atrial fibrillation due to subcortical bleeding, after which he experienced right back pain. He was diagnosed with right renal infarction based on computed tomography images, and the antithrombotic therapy was continued. The patient's hiccups ceased, and he was discharged on hospital day 11.
Hiccups can be induced by various clinical conditions. It is hypothesized that the inflammation of the right kidney infarction stimulated the diaphragm and induced prolonged hiccups in this patient; this theory is supported by the computed tomography images. This case report shows that internal organ diseases irritating the diaphragm can cause hiccups, and renal disease should be considered in patients with prolonged hiccups.
打嗝是持续时间少于48小时的常见症状。然而，我们遇到了一例因长时间打嗝就诊的肾梗死患者。打嗝与肾梗死之间的关系对于鉴别长时间打嗝的患者很重要。
一名87岁的日本男性，患有心房颤动且正在接受抗血栓治疗，因长时间打嗝到急诊科就诊。该患者因皮质下出血停用了用于心房颤动的抗血栓治疗，之后出现右背部疼痛。基于计算机断层扫描图像，他被诊断为右肾梗死，抗血栓治疗继续进行。患者的打嗝停止，于住院第11天出院。
打嗝可由多种临床情况诱发。据推测，该患者右肾梗死的炎症刺激了膈肌并诱发了长时间打嗝；计算机断层扫描图像支持这一理论。本病例报告表明，刺激膈肌的内脏疾病可导致打嗝，对于长时间打嗝的患者应考虑肾脏疾病。
