Asymptomatic Idiopathic Renal Infarction Detected Incidentally on Contrast-Enhanced Computed Tomography: A Case Report
Abstract
:1. Introduction
2. Case Presentation
3. Discussion
4. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Parameter | Recorded Value | Standard Value |
---|---|---|
White blood cell count | 8090 µL | 4500–7500 µL |
Hemoglobin | 15.0 g/dL | 11.3–15.2 g/dL |
Platelet count | 43.6 × 104 µL | 13–35 × 104 µL |
Prothrombin time/International normalized ratio | 0.84 | 0.80–1.20 |
Activated partial thromboplastin time | 27.5 s | 26.9–38.1 s |
D-dimer | 1.0 μg/mL | <1.0 μg/mL |
C-reactive protein | 0.13 mg/L | ≤0.60 mg/dL |
Aspartate aminotransferase | 21 U/L | 11–30 U/L |
Alanine aminotransferase | 20 U/L | 4–30 U/L |
Lactase dehydrogenase | 181 U/L | 109–216 U/L |
Creatine kinase | 73 U/L | 40–150 U/L |
Blood urea nitrogen | 9.5 mg/dL | 8–20 mg/dL |
Creatinine | 0.95 mg/dL | 0.63–1.03 mg/dL |
Sodium | 139 mEq/L | 136–148 mEq/L |
Potassium | 4.1 mEq/L | 3.6–5.0 mEq/L |
Chloride | 102 mEq/L | 98–108 mEq/L |
CEA | 1.94 ng/mL | <5.0 ng/mL |
CA19-9 | 10.4 U/mL | <37.0 U/mL |
Case | Literature | Year Published | Age (Years) | Sex | Symptoms | Treatment | Long-Term Outcomes after Treatment |
---|---|---|---|---|---|---|---|
1 | 6 | 2017 | 38 | Male | Right-sided abdominal pain, Radiating pain to the iliac fossa and back | Continuous intravenous enoxaparin sodium was started; it was switched to oral warfarin. | No recurrence after one year. |
2 | 7 | 2021 | 43 | Male | Right renal colic | After intravenous heparin administration, the medication was switched to vitamin K antagonists. | No recurrence at 3, 6, and 12 months post-treatment. |
3 | 8 | 2018 | 41 | Male | Right upper and lateral abdominal pain, Fever and chills | Therapeutic dose of enoxaparin sodium | NR |
4 | 9 | 2017 | 42 | Male | Nausea, Epigastric pain, Radiating pain to the back | Oral anticoagulant (type and dose of the medicine were not reported) | NR |
5 | 10 | 2021 | 37 | Male | Left-sided abdominal colic, Radiogenic pain to testis | Unfractionated heparin 80 mg/kg bolus and continuous intravenous infusion at 18 mg/kg/h. This was then switched to oral warfarin. | NR |
6 | 11 | 2014 | 50 | Male | Right-sided abdominal pain, Vomiting, Sweating, Loss of appetite | Enoxaparin sodium and warfarin administration. Lisinopril oral administration. | No recurrence after 6 months. |
7 | 12 | 1995 | 37 | Male | Lateral abdominal pain, Vomiting, Slight fever | After two weeks of intravenous heparin, six months of intravenous warfarin was administered. | No recurrence at 8 weeks post-CT. |
8 | 13 | 2005 | 42 | Female | Left-sided abdominal pain, Radiating pain to the left lower abdomen | Warfarin (drug dosage was not reported) | NR |
9 | 14 | 2009 | 46 | Male | Right-sided abdominal pain, Radiating pain to the right lower abdomen | Systemic anticoagulation after selective transarterial urokinase infusion (type and dose of the medicine were not reported) | NR |
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Mizusugi, M.; Kenzaka, T. Asymptomatic Idiopathic Renal Infarction Detected Incidentally on Contrast-Enhanced Computed Tomography: A Case Report. Medicina 2023, 59, 1176. https://doi.org/10.3390/medicina59061176
Mizusugi M, Kenzaka T. Asymptomatic Idiopathic Renal Infarction Detected Incidentally on Contrast-Enhanced Computed Tomography: A Case Report. Medicina. 2023; 59(6):1176. https://doi.org/10.3390/medicina59061176
Chicago/Turabian StyleMizusugi, Mariko, and Tsuneaki Kenzaka. 2023. "Asymptomatic Idiopathic Renal Infarction Detected Incidentally on Contrast-Enhanced Computed Tomography: A Case Report" Medicina 59, no. 6: 1176. https://doi.org/10.3390/medicina59061176