Merhaba Misafir

Renal infarction in a young man

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A 43-year-old man presented to the emergency department with a 1-h history of severe abdominal pain, particularly localized in the umbilical area and accompanied by cold sweating. His medical history was unremarkable. Abdominal examination revealed no defense or rebound tenderness (1). Vital signs as well as systemic and laboratory findings were normal, except for the elevated levels of aspartate aminotransferase (120 U/L; reference range, <46 U/L) and lactate dehydrogenase (977 U/L; reference range, 135-225 U/L), indicating signs of damage in the body tissues. Abdominal ultrasonography revealed normal findings, and doppler ultrasonography revealed no flow in the left inferior segmental renal artery. Furthermore, abdominal computed tomography with contrast revealed a hypodense area in the left kidney involving the anterolateral component of the upper and middle zones in addition to the entire lower pole (Figure 1).

Yayınlandığı Kaynak : Balkan Medical Journal