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Related Experiment Videos

[Three patients with a kidney infarct].

G H Koek1, D E Blockmans, P Van Hootegem

  • 1Universitaire Ziekenhuizen, Gasthuisberg, afd. Interne Geneeskunde, Leuven, België.

Nederlands Tijdschrift Voor Geneeskunde
|February 24, 1999
PubMed
Summary

Kidney infarction can cause unexplained abdominal pain and elevated LDH levels, especially in patients with cardiovascular disease or Factor-V-Leiden deficiency. Early diagnosis via CT scan and arteriography, followed by anticoagulant therapy, is crucial.

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Area of Science:

  • Nephrology
  • Vascular Medicine
  • Diagnostic Imaging

Background:

  • Cardiovascular disease and Factor-V-Leiden deficiency increase risk for vascular events.
  • Abdominal pain and elevated lactate dehydrogenase (LDH) are non-specific symptoms.

Observation:

  • Two patients with cardiovascular disease and one with Factor-V-Leiden deficiency presented with abdominal pain and elevated LDH.
  • Abdominal CT scans revealed kidney infarction in all three cases.
  • Selective kidney arteriography confirmed the diagnosis in two patients.

Findings:

  • Kidney infarction was diagnosed in patients with unexplained abdominal pain and elevated LDH.
  • Anticoagulant therapy was initiated for treatment.
  • Elevated serum creatinine was noted in some cases.

Implications:

  • Kidney infarction should be considered in the differential diagnosis of unexplained abdominal pain with elevated LDH.
  • Prompt diagnosis and management are essential for patients with risk factors.
  • This highlights the importance of considering vascular events in abdominal pathologies.

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