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A Large Animal Model for Acute Kidney Injury by Temporary Bilateral Renal Artery Occlusion
Published on: February 2, 2021
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Idiopathic Renal Infarction Mimicking Appendicitis.
Marco Di Serafino1, Rosa Severino1, Chiara Gullotto2
1Radiology Department, San Carlo Hospital, Potenza, Italy.
Case Reports in Emergency Medicine
|February 17, 2017
Summary
Renal infarction is rare, often seen in older adults with heart issues. This case highlights an idiopathic renal infarct in a young adult, mimicking appendicitis, emphasizing diagnostic awareness.
Area of Science:
- Nephrology
- Vascular Medicine
- Emergency Medicine
Background:
- Renal infarction is an uncommon cause of emergency department visits, affecting 0.004%-0.007% of patients.
- Typically presents in older individuals (60-70 years) with thromboembolic risk factors, notably atrial fibrillation.
Observation:
- A case of idiopathic segmental renal infarction in a 38-year-old patient is presented.
- The patient experienced acute abdominal pain without prior history or risk factors for thromboembolism.
- The condition mimicked more common pathologies like pyelonephritis, nephrolithiasis, and appendicitis due to its nonspecific presentation.
Findings:
- Idiopathic segmental renal infarction can occur in younger individuals without apparent risk factors.
- Nonspecific abdominal pain is a key, albeit ambiguous, presenting symptom.
- Early diagnosis and treatment with anticoagulant therapy are crucial.
Implications:
- Clinicians must consider renal infarction in the differential diagnosis of acute abdominal pain, even in patients lacking typical risk factors.
- Increased awareness of this rare condition can lead to timely diagnosis and management.
- Prompt anticoagulant therapy is associated with a favorable prognosis for renal infarction.
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