Idiopathic Renal Artery Thrombosis, as a Unique Entity
,
Abstract
Spontaneous thrombosis of the renal artery is extremely rare. It presents as an acute abdomen and is often underdiagnosed. Clinicians need to be aware of this rare disease for timely diagnosis and treatment. We present a case of a 60-year-old male without previous health conditions presenting with unremitting acute pain abdomen, nausea, and vomiting. Ultrasonography was reported unremarkable. A contrast-enhanced Computed Tomography (CT) scan of the abdomen demonstrated a thrombosed right renal artery with a right renal infarct. The purpose of this case report is to put forth this rare entity as a cause of acute abdomen to provide a timely diagnosis and treatment for such patients.
[1] Cosby RL, Miller PD, Schrier RW. Traumatic renal artery thrombosis. American Journal of Medicine. 1986; 81:890-4. [DOI:10.1016/0002- 9343(86)90363-3] [PMID]
[2] Golbus SM, Swerdlin AR, Mitas JA, Rowley WR, James DR. Renal ar- tery thrombosis in a young woman taking oral contraceptives. An- nals of Internal Medicine. 1979; 90(6):939-40. [DOI:10.7326/0003- 4819-90-6-939] [PMID]
[3] Chagnac A, Zevin D, Weinstein T, Gafter U, Korzets A, Levi J. Eryth- rocytosis associated with renal artery thrombosis in a patient with polycystic kidney disease on hemodialysis. Acta Haematologica. 1990; 84(1):40-2. [DOI:10.1159/000205025] [PMID]
[4] Korzets Z, Plotkin E, Bernheim J, Zissin R. The clinical spectrum of acute renal infarction. Israel Medical Association Journal. 2002; 4(10):781-4. [PMID]
[5] Wong WS, Moss AA, Federle MP, Cochran ST, London SS. Renal infarction: CT diagnosis and correlation between CT findings and etiologies. Radiology. 1984; 150(1):201-5. [DOI:10.1148/radiol- ogy.150.1.6689761] [PMID]
[6] Yamanouchi Y, Yamamoto K, Noda K, Tomori K, Kinoshita T. Renal infarction in a patient with spontaneous dissection of segmental ar- teries: Diffusion-weighted magnetic resonance imaging. American Journal of Kidney Diseases. 2008; 52(4):788-91. [DOI:10.1053/j. ajkd.2008.07.002] [PMID]
[7] Huang CC, Kao WF, Yen DH, Huang HH, Huang CI, Lee CH. Re- nal infarction without hematuria: Two case reports. The Journal of Emergency Medicine. 2006; 30(1):57-61. [DOI:10.1016/j.je- mermed.2005.03.013] [PMID]
[8] Singh S, Wang L, Yao QS, Jyotimallika J, Singh S. Spontaneous renal artery thrombosis: An unusual cause of acute abdomen. North American Journal of Medical Sciences. 2014; 6(5):234-6. [DOI:10.4103/1947-2714.132944] [PMID] [PMCID]
[9] Raghavendran M, Sarkar M, & Kumar KG. Isolated spontane- ous renal artery thrombosis - a rare cause of acute flank pain urol case rep. Urology Case Reports. 2016; 9:4-5. [DOI:10.1016/j. eucr.2016.07.013] [PMID] [PMCID]
[2] Golbus SM, Swerdlin AR, Mitas JA, Rowley WR, James DR. Renal ar- tery thrombosis in a young woman taking oral contraceptives. An- nals of Internal Medicine. 1979; 90(6):939-40. [DOI:10.7326/0003- 4819-90-6-939] [PMID]
[3] Chagnac A, Zevin D, Weinstein T, Gafter U, Korzets A, Levi J. Eryth- rocytosis associated with renal artery thrombosis in a patient with polycystic kidney disease on hemodialysis. Acta Haematologica. 1990; 84(1):40-2. [DOI:10.1159/000205025] [PMID]
[4] Korzets Z, Plotkin E, Bernheim J, Zissin R. The clinical spectrum of acute renal infarction. Israel Medical Association Journal. 2002; 4(10):781-4. [PMID]
[5] Wong WS, Moss AA, Federle MP, Cochran ST, London SS. Renal infarction: CT diagnosis and correlation between CT findings and etiologies. Radiology. 1984; 150(1):201-5. [DOI:10.1148/radiol- ogy.150.1.6689761] [PMID]
[6] Yamanouchi Y, Yamamoto K, Noda K, Tomori K, Kinoshita T. Renal infarction in a patient with spontaneous dissection of segmental ar- teries: Diffusion-weighted magnetic resonance imaging. American Journal of Kidney Diseases. 2008; 52(4):788-91. [DOI:10.1053/j. ajkd.2008.07.002] [PMID]
[7] Huang CC, Kao WF, Yen DH, Huang HH, Huang CI, Lee CH. Re- nal infarction without hematuria: Two case reports. The Journal of Emergency Medicine. 2006; 30(1):57-61. [DOI:10.1016/j.je- mermed.2005.03.013] [PMID]
[8] Singh S, Wang L, Yao QS, Jyotimallika J, Singh S. Spontaneous renal artery thrombosis: An unusual cause of acute abdomen. North American Journal of Medical Sciences. 2014; 6(5):234-6. [DOI:10.4103/1947-2714.132944] [PMID] [PMCID]
[9] Raghavendran M, Sarkar M, & Kumar KG. Isolated spontane- ous renal artery thrombosis - a rare cause of acute flank pain urol case rep. Urology Case Reports. 2016; 9:4-5. [DOI:10.1016/j. eucr.2016.07.013] [PMID] [PMCID]
| Files | ||
| Issue | Vol 6 No 6 (2021): November-December | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/crcp.v6i6.9173 | |
| Keywords | ||
| Renal artery thrombosis Computed tomography Idiopathic Coagulation disorder | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Hussain M, Shah O, Khan T, Choh N, Robbani I. Idiopathic Renal Artery Thrombosis, as a Unique Entity. CRCP. 2022;6(6):256-258.
