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Published on: March 27, 2018
Acute segmental renal infarction due to factor V Leiden
Jorge Cabral Ribeiro1, Lemos Sousa, Carlos Calaza
1Department of Urology and Imunohemotherapy, Hospital São Marcos, Braga, Portugal. jcabral@hsmbraga.min-saude.pt
Renal infarction, a rare condition, can be linked to thrombophilia like factor V Leiden. Early CT scans are crucial for diagnosing and treating this condition to prevent kidney damage.
Area of Science:
- Nephrology
- Hematology
- Radiology
Background:
- Renal infarction presents variably, often complicating diagnosis.
- Thrombophilia, either hereditary or acquired, can be an underlying cause of renal infarction, even without obvious thromboembolic factors.
Observation:
- A 48-year-old male experienced severe right flank pain mimicking renal colic.
- A computed tomography (CT) scan revealed a partial renal infarction.
Findings:
- Etiologic investigation identified factor V Leiden as the sole positive finding.
- Despite timely diagnosis and treatment, the affected renal area progressed to atrophy.
Implications:
- Renal infarction may be an initial manifestation of thrombophilia, necessitating investigation when no clear embolic source is identified.
- Renal CT scanning is the preferred imaging modality for prompt diagnosis and management of renal infarction.
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