An acute renal infarction due to atrial fibrillation in a transplant patient: a case report
Tülin Akagün1, Ayşe Serra Artan1, Halil Yazıcı1, Işın Kılıçaslan2, Barış Bakır3
1Division of Nephrology, Department of Internal Medicine, Medicine Faculty of İstanbul University, İstanbul, Turkey
2Department of Pathology, Medicine Faculty of İstanbul University, İstanbul, Turkey
3Department of Radiodiagnostic, Medicine Faculty of İstanbul University, İstanbul, Turkey
Keywords: Acute renal infarction; atrial fibrillation; renal artery occlusion; renal artery thromboembolism; renal transplantation.
Abstract
Acute renal artery thromboembolism is a critical problem requiring rapid diagnosis and treatment. Most reports of renal infarction due to emboli are in patients with atrial fibrillation. Early diagnosis of renal artery thromboembolism is difficult. Patients with acute renal infarction typically complain of flank pain or generalized abdominal pain. Elevated peripheral white blood cell count, serum creatinine concentration and markedly elevated serum lactate dehydrogenase can be seen during renal infarction. In this case report, we describe a renal transplant recipient patient who developed an acute renal infarction due to atrial fibrillation.