Presentation
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]
We present an unusual case of a patient that presented with renal artery thrombosis and subsequently was diagnosed with neuroendocrine tumor. [austinpublishinggroup.com]
Entire Body System
- Severe Pain
Possible Complications Complications may include: Acute kidney failure Chronic kidney disease High blood pressure Malignant hypertension When to Contact a Medical Professional Call your provider if: You stop producing urine You feel sudden, severe pain [m.ufhealth.org]
Call your provider if: You stop producing urine You feel sudden, severe pain in the back, flank, or abdomen. Get emergency medical help right away if you have symptoms of arterial occlusion and have only one working kidney. [medlineplus.gov]
Gastrointestinal
- Vomiting
Learning Points: History and physical of renal artery thrombosis include acute onset flank or generalized abdominal pain, nausea, vomiting, fever, and possible acute elevation in blood pressure. Dr. [imrespdx.com]
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]
Renal artery thrombosis symptoms Acute (sudden) complete blockage: Sudden onset of flank (between the ribs and the upper border of the hip bone) pain and tenderness Fever Blood in the urine Nausea and/or vomiting Sudden decrease in kidney function Hypertension [stanfordhealthcare.org]
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]
The patient presented with severe abdominal pain and vomiting. A computed tomography scan revealed a linear opacity corresponding to the foreign body. [acgcasereports.gi.org]
- Nausea
Learning Points: History and physical of renal artery thrombosis include acute onset flank or generalized abdominal pain, nausea, vomiting, fever, and possible acute elevation in blood pressure. Dr. [imrespdx.com]
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]
Renal artery thrombosis symptoms Acute (sudden) complete blockage: Sudden onset of flank (between the ribs and the upper border of the hip bone) pain and tenderness Fever Blood in the urine Nausea and/or vomiting Sudden decrease in kidney function Hypertension [stanfordhealthcare.org]
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]
Case Report: We report a case of a 56-year-old male with no previous health problems presented with complaint of abdominal pain and nausea. Computed tomography angiogram (CTA) of the abdomen and pelvis confirmed thrombus in left renal artery. [najms.org]
Cardiovascular
- 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.com.gt]
- Cyanosis
Vascular spasms occur as a result of arterial constriction and in early stages may be difficult to distinguish them from thrombolytic states, which generally are followed by pallor and cyanosis of the limbs after the insertion of catheters 1, 2. [colombiamedica.univalle.edu.co]
Urogenital
- 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]
Sudden kidney failure when first taking an angiotensin-converting enzyme (ACE) inhibitor for blood pressure and/or heart treatment Renal Artery Thrombosis Sudden onset of side pain between the ribs and the upper border of the hip bone (flank pain), pain [hopkinsmedicine.org]
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]
- Anuria
A middle-aged woman with acute renal failure and anuria due to atherosclerotic occlusion of the abdominal aorta and both renal arteries was surgically treated 42 days after the onset of anuria. [ncbi.nlm.nih.gov]
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]
Hemorrhagic renal infarction due to renal vein thrombosis Signs and Symptoms Flank pain or abdominal pain Hematuria Arterial hypertension Irregular heart rate Nausea, vomiting Oligouria, Anuria Diagnostic Work-Up Urine: Signs for kidney infarction are [urology-textbook.com]
Workup
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]
Serum
- Abnormal Renal Function
[…] predictive value for abnormal renal function rose to 96% and 67%, respectively. [slideshare.net]
Treatment
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]
Prognosis
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]
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]
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]
Etiology
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]
Epidemiology
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]
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]
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]
Pathophysiology
An introductory section concisely explains the complex pathophysiology of thrombosis and hemostasis. [books.google.com]
Prevention
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]
Prevention Renal vein thrombosis cannot be prevented. Preventing dehydration by maintaining fluids in the body may help reduce the risk of renal vein thrombosis. Parental concerns Most cases of renal vein thrombosis resolve without complication. [healthofchildren.com]