[Bilateral renal infarction after discontinuation of anticoagulant therapy].

Autor: Lavoignet CÉ; Service d'accueil des urgences, hôpital de Hautepierre, CHU de Strasbourg, 1, avenue Molière, 67098 Strasbourg, France., Le Borgne P; Service d'accueil des urgences, hôpital de Hautepierre, CHU de Strasbourg, 1, avenue Molière, 67098 Strasbourg, France; EA 7293, fédération de médecine translationnelle, faculté de médecine, université de Strasbourg, 4, rue Kirschleger, 67000 Strasbourg, France. Electronic address: pierrick_med@yahoo.fr., Ugé S; Service d'accueil des urgences, hôpital de Hautepierre, CHU de Strasbourg, 1, avenue Molière, 67098 Strasbourg, France., Veneziano R; Service d'accueil des urgences, hôpital de Hautepierre, CHU de Strasbourg, 1, avenue Molière, 67098 Strasbourg, France., Brunhuber C; Service de radiologie, hôpital d'Offenburg-Gengenbach, 12, Ebertplatz, 77654 Offenburg, Allemagne., Kam C; Service d'accueil des urgences, hôpital de Hautepierre, CHU de Strasbourg, 1, avenue Molière, 67098 Strasbourg, France., Bilbault P; Service d'accueil des urgences, hôpital de Hautepierre, CHU de Strasbourg, 1, avenue Molière, 67098 Strasbourg, France; EA 7293, fédération de médecine translationnelle, faculté de médecine, université de Strasbourg, 4, rue Kirschleger, 67000 Strasbourg, France.
Jazyk: francouzština
Zdroj: Nephrologie & therapeutique [Nephrol Ther] 2016 Jul; Vol. 12 (4), pp. 234-6. Date of Electronic Publication: 2016 May 27.
DOI: 10.1016/j.nephro.2016.01.014
Abstrakt: Acute renal infarction is an uncommon and often under diagnosed condition mostly because of misleading symptoms. Accurate data regarding clinical presentation, laboratory tests, diagnostic and treatment are lacking. Detection is often delayed or missed because of non-specific clinical presentation. The mechanisms of acute renal infarction are various, mainly embolic or thrombotic. Abdominal CT scan remains the most valuable exam to confirm the diagnosis. Therapeutic guidelines for the treatment of renal embolism have not been well established. The standard treatment strategy includes anticoagulation with or without thrombolysis. Despite the uncertainty regarding management, the renal outcome remains favorable. Some patients do develop some degree of renal insufficiency during the acute episode. We report here the case of a 73-year-old woman with bilateral acute renal infarction after discontinuation of anticoagulant therapy.
(Copyright © 2016 Association Société de néphrologie. Published by Elsevier SAS. All rights reserved.)
Databáze: MEDLINE
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