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Updated: Aug 9, 2026

A Large Animal Model for Acute Kidney Injury by Temporary Bilateral Renal Artery Occlusion
Published on: February 2, 2021
[Segmental renal infarction presenting as acute flank pain]
Javier Rodríguez Corchero1, Antonio Villodres Duarte, Jose María Pena Outeriño
1Servicio de Urología y Unidad de Urodinámica, Hospital Universitario Virgen del Rocío, Sevilla, España. jrcorchero@hotmail.com
This case report highlights a 40-year-old male with acute flank pain. Prompt diagnosis and treatment of segmental renal infarction led to successful recovery.
Area of Science:
- Nephrology
- Cardiology
- Radiology
Background:
- Acute flank pain is a common presentation with diverse etiologies.
- Segmental renal infarction is a rare but serious condition requiring timely diagnosis.
- Cardiovascular disease is a significant risk factor for renal infarction due to embolic events.
Observation:
- A 40-year-old male presented with acute onset right flank pain, fever, and general deterioration.
- Diagnostic workup included blood tests, urinalysis, X-ray, ultrasound, and CT scan.
- The patient was diagnosed with segmental renal infarction.
Findings:
- Treatment with low molecular weight heparin was initiated for the diagnosed renal infarction.
- The patient showed significant clinical improvement following heparin therapy.
- Hospital discharge occurred after 10 days, with full recovery noted at a 6-month follow-up.
Implications:
- Renal infarction must be considered in the differential diagnosis of acute flank pain, especially when common causes are excluded.
- Physicians should maintain a high index of suspicion for renal infarction in patients with cardiovascular risk factors.
- Early recognition and anticoagulation are crucial for favorable outcomes in renal infarction.
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