Radiologic and Laboratory Characteristics of Acute Renal Infarction in the Emergency Department
Journal of the Korean Society of Emergency Medicine
;
: 481-486, 2003.
Article
in Korean
| WPRIM
| ID: wpr-160660
ABSTRACT
PURPOSE:
Renal infarction is one of the uncommon causes of acute abdominal pain, and it is often difficult to make a clinical diagnosis. This study was designed to investigate clinical predictors of the acute renal infarction and to suggest useful diagnostic tools to use in the emergency department(ED).METHODS:
We reviewed medical records of the patients with a final diagnosis of acute renal infarction, which was confirmed by contrast-enhanced computed tomography (CT) scan or angiography of the abdomen between Jan. 1998 and Dec. 2000.RESULTS:
Among 24 patients with acute nontraumatic renal infarction, 17 patients (71.0%) had a thromboembolic disease. A number of patients presented with nonspecific abdominal pain. 23 patients (95.8%) had elevated serum LDH after 24 hours of presention. On initial urinalysis, 75.0% of patients (18/24) showed hematuria.CONCLUSION:
This study suggests that the patients with pain in the flank or the abdomen or the low back area should be performed a contrast-enhanced CT scan as soon as possible to rule out the possibility of acute renal infaction, especially when the patient has the high-risk triad of thromboembolism, elevated serum LDH, and hematuria.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Thromboembolism
/
Angiography
/
Tomography, X-Ray Computed
/
Abdominal Pain
/
Medical Records
/
Urinalysis
/
Diagnosis
/
Emergencies
/
Emergency Service, Hospital
/
Abdomen
Type of study:
Diagnostic study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Society of Emergency Medicine
Year:
2003
Type:
Article
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