Korean J Nephrol.
2004 Mar;23(2):341-344.
A Case of Idipathic Bilateral Renal and Splenic Infarctions in a Healthy Man
- Affiliations
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- 1Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. cmckyo@yahoo.co.kr
- 2Department of Urology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- 3Department of Radiology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Abstract
- Renal infarction usually occurs in patients with cardiovascular disease or connective tissue disease. But it rarely occurs in a healthy person without any underlying diseases. Here we report a case of idiopathic bilateral renal and splenic infarctions in a healthy person. A 31-year-old man was admitted because of sudden onset of both flank and diffuse abdominal pain. He had experienced same flank and abdominal pains ten days ago. He had no medical history of hypertension, heart disease, diabetes, and renal disease. He also denied history of abdominal trauma and drug ingestion. Abdominal computed tomography revealed bilateral renal infarction and concomitant splenic infarction. Both renal arteriography also demonstrated obstruction of left anterior branch and marked narrowing of right anterior branch. Electrocardiography and echocardiography were all normal. There was no evidence of systemic lupus erythematosus, antiphospholipid syndrome, and any hypercoagulable state.
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