We present a case of acute renal artery thrombosis due to disseminated zygomycosis in a healthy young adult male.The diagnosis of renal artery occlusion was made on contrast-enhanced CT (CECT) and confirmation of etiology was made only on post mortem [ncbi.nlm.nih.gov]

• Fishing

  Flye MW, Anderson RW, Fish JC, Silver D (1982) Successful surgical treatment of anuria caused by renal artery occlusion. Ann Surg 195: 346–353 Google Scholar 2. [link.springer.com]

• Easy Bruising

  A previously healthy 20-year-old male with a history of easy bruising presented to the emergency department complaining of intermittent left lower quadrant abdominal pain for one week. [ncbi.nlm.nih.gov]

• Left Lower Quadrant Pain

  A young female presented with acute left lower quadrant pain followed by nausea and vomiting. She was found to have haematuria and elevated serum creatine. [ncbi.nlm.nih.gov]

  Oral contraceptive causing renal artery thrombosis Summary A young female presented with acute left lower quadrant pain followed by nausea and vomiting. She was found to have haematuria and elevated serum creatine. [casereports.bmj.com]

• Epigastric Pain

  Review of 65 cases from the literature showed that flank and epigastric pain and proteinuria are usually present. Renal artery thrombosis following blunt trauma has usually been diagnosed too late to salvage the kidney. [ncbi.nlm.nih.gov]

• Left Flank Pain

  The only presenting symptom was left flank pain and no predisposing factors could be found on clinical or laboratory examination. [ncbi.nlm.nih.gov]

• Hypertension

  […] for hypertension to develop after sudden renal-artery occlusion in man. [ncbi.nlm.nih.gov]

• Vascular Disease

  Patients with underlying vascular disease may be risking cardiovascular complications from recreational or medical use of cocaine. [ncbi.nlm.nih.gov]

  Patient Care & Services Renal Vascular Disease What is renal vascular disease? Renal vascular disease is the name given to a variety of complications that affect the arteries and veins of the kidneys. [surgery.med.miami.edu]

  You are more likely to have vascular disease as you get older. [icdlist.com]

  vascular diseases (VE) and a method for the diagnosis and assessment of vascular disease, wherein the presence or absence of or the peptide marker (s) indicative of the severity of a VE. [google.st]

• Excoriation

  She complained about abdominal pain localised in the strip with excoriations and haematomas passing through the abdomen obliquely from the left side up to the right side (in accordance with the course of the seat belt). [omicsonline.org]

• Neglect

  However, small infarcts, which need other imaging modalities for further evaluation and confirmation, may be neglected by CDS. [ncbi.nlm.nih.gov]

• Stupor

  Moreover, he developed stupor due to central nervous system (CNS) lupus a week after the occurrence of the hypertensive episode. [ncbi.nlm.nih.gov]

• Generalized Seizure

  A 13-year-old Japanese boy with an 11-month history of systemic lupus erythematosus (SLE) without antiphospholipid antibodies (APAs) suddenly developed severe hypertension, associated with fever and generalized seizures, and mild abdominal pain. [ncbi.nlm.nih.gov]

• Altered Mental Status

  This case represents spontaneous renal artery thrombosis associated with an altered mental status. Clinical features with suspected etiologies are reviewed. Recommendations for future evaluations are given. [ncbi.nlm.nih.gov]

• Flank Pain

  The only presenting symptom was left flank pain and no predisposing factors could be found on clinical or laboratory examination. [ncbi.nlm.nih.gov]

  Case Presentation The patient is a 58-year-old previously healthy female that presented to the emergency department for acute onset of left-sided flank pain. [austinpublishinggroup.com]

  He complained of flank pain, and subsequent simple x-ray and pelvis computed tomography revealed a right acetabular fracture, which we decided to treat conservatively. There were no other major injuries. [circ.ahajournals.org]

Though easily treatable, this is a condition which is seldom investigated in the workup of thrombotic disorders. [ncbi.nlm.nih.gov]

Topics include: Non-neoplastic diseases in kidney cancer; Nephrectomy for non-neoplastic causes; Autopsy renal pathology; Practical approach to kidney donation workup; Kidney allograft pathology; Renal infections; Amyloidosis - all subtypes; Histologic [books.google.com]

Initial laboratory workup revealed a leukocytosis of 12.9 bil/L. Basic metabolic panel, including creatinine, was unremarkable and urinalysis was normal. Lactate dehydrogenase (LDH) was slightly elevated at 258 U/L. [austinpublishinggroup.com]

After a negative workup for secondary causes of renal infarct, including atrial fibrillation, vasculitis, hypercoagulability, endocarditis, and drugs, the foreign body was identified as the cause. [acgcasereports.gi.org]

A systematic approach can then be utilized to ensure that the vast majority of the possible complications are detected; particularly those that may require further diagnostic workup or surgical/radiologic intervention. [appliedradiology.com]

• Abnormal Renal Function

  renal function rose to 96% and 67%, respectively. [slideshare.net]

Renal arterial thrombosis because of blunt abdominal trauma is still an underreported entity, treatment for which has not yet been established. Both early nephrectomy and delayed revascularization are not justified treatment options. [ncbi.nlm.nih.gov]

However, the prognosis at present still remains poor. [ncbi.nlm.nih.gov]

Treatment and prognosis Acute renal artery occlusion is an emergency and requires immediate intervention. Treatment modalities include anticoagulation and thrombolysis/thrombectomy with renal artery stenting 1,3. Promoted articles (advertising) [radiopaedia.org]

Likewise, other factors such as blunt mechanisms, high-grade injuries (i.e. grade 5), and an attempted arterial repair are also associated with a poor prognosis [ 3 ]. [clinmedjournals.org]

The prognosis is variable depending upon the severity of lesions, whether unilateral or bilateral, comorbidities and co-existing atherosclerotic disease, age and response to medical or surgical therapy. [patient.info]

Outlook (Prognosis) Damage caused by arterial occlusion may go away. However, in most cases, it is permanent. If only one kidney is affected, the healthy kidney may take over filtering the blood and producing urine. [m.ufhealth.org]

Clinical features with suspected etiologies are reviewed. Recommendations for future evaluations are given. [ncbi.nlm.nih.gov]

Liu discussed an article by Oh that found that the most common etiology was cardiogenic, followed by idiopathic, renal artery injury, and hypercoagulable state. Labs include an elevated LDH, hematuria, and occasionally leukocytosis. [imrespdx.com]

The etiologies of end stage renal disease reported in our study were: one case of nephronophtisis, one case of renal hypoplasia and one case of vesico-ureteral reflux. The etiology was unknown in one case. [latunisiemedicale.com]

In vitro data suggest that drugs such as cyclosporine and OKT3 increase the risk of thrombosis, but it has not been borne out in clinical practice. [8] Epidemiological data suggest increased risk of thrombosis in patients undergoing second transplant [ijtonline.in]

View Article Google Scholar Bökenkamp A, von Kries R, Nowak-Göttl U, Göbel U, Hoyer PF: Neonatal renal venous thrombosis in Germany between 1992 and 1994: epidemiology, treatment and outcome. Eur J Pediatr. 2000, 159: 44-48. 10.1007/s004310050008. [ijponline.biomedcentral.com]

Epidemiology [ 3 ] The prevalence of atherosclerotic renal artery stenosis is high - about 7% in individuals older than 65 years and about 50% in patients with diffuse arterial disease, and it is increasingly frequent in an ageing population. [patient.info]

Liaño F, Pascual J: Epidemiology of acute renal failure: a prospective, multicenter, community-based study. Madrid Acute Renal Failure Study Group. Kidney Int 1996;50:811-818. [karger.com]

An introductory section concisely explains the complex pathophysiology of thrombosis and hemostasis. [books.google.com]

Abstract Epsilon aminocaproic acid (EACA) has been used to prevent rebleeding in patients with subarachnoid hemorrhage (SAH). [ncbi.nlm.nih.gov]

Doherty Lippincott Williams & Wilkins, 2006 - 826 من الصفحات This volume offers authoritative, evidence-based recommendations for preventing and managing complications in all current general surgery procedures. [books.google.com]