Preprint Case Report Version 1 This version not peer reviewed

An Ambiguous Case of Abdominal Pain involving Renal Artery Thrombosis with Renal Infarction

Version 1 : Received: 11 January 2018 / Approved: 24 January 2018 / Online: 24 January 2018 (11:41:15 CET)

How to cite: Almamun, M.S.; Munir, A.; Raza, A.R.; Koubeh, S.; Hassan, A.Z.; Kaawan, H.; Moore, S.; Khurana, R. An Ambiguous Case of Abdominal Pain involving Renal Artery Thrombosis with Renal Infarction. Preprints 2018, 2018010227 (doi: 10.20944/preprints201801.0227.v1). Almamun, M.S.; Munir, A.; Raza, A.R.; Koubeh, S.; Hassan, A.Z.; Kaawan, H.; Moore, S.; Khurana, R. An Ambiguous Case of Abdominal Pain involving Renal Artery Thrombosis with Renal Infarction. Preprints 2018, 2018010227 (doi: 10.20944/preprints201801.0227.v1).

Abstract

Renal artery thrombosis is a sporadic serious clinical condition which potentially cause renal infarction. Diagnosis of renal infarction can be delayed or missed due to non specific clinical presentation and overlapping appearance of medical and surgical phenomena. Early diagnosis supported by biochemical and radiological findings while appropriate management potentially improve morbidity and mortality. Persistent abdominal or flank pain with raised LDH and proteinuria on background of thromboembolism risk factors supports the diagnosis. Despite the rarity of the disease rapid identification with prompt medical or endovascular intervention could prevent irreversible renal parenchymal damage.

Subject Areas

Lactate dehydrogenase (LDH), Computed Tomography (CT), Glomerular filtration rate (GFR), C reactive protein (CRP), Angiotensin converting enzyme inhibitor (ACEI) Angiotensin receptor blocker (ARB), Kidney Urinary bladder ( KUB), Dimercapto Succinic Acid (DMSA)

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