Epigastric Pain in Acute Renal Infarction: The Forgotten Presentation

Maadarani, Ossama and Bitar, Zouheir (2015) Epigastric Pain in Acute Renal Infarction: The Forgotten Presentation. European Journal of Case Reports in Internal Medicine, 2 (1). pp. 1-3. ISSN 2284-2594

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Epigastric pain is a manifestation of several medical and surgical conditions. However, when persistent epigastric pain is associated with microscopic or frank haematuria and elevated lactate dehydrogenase (LDH), especially in patients with increased risk of thromboembolic events, acute renal infarction (ARI) should be considered. We report the case of a 77-year-old male patient who presented with sudden persistent epigastric pain and elevated LDH who was found to have atrial fibrillation. The patient was diagnosed with ARI. ARI is not usually a typical differential diagnosis in patients with persistent epigastric pain and elevated LDH in whom the risk of thromboembolic events is high. Thus, physicians should perform a contrast-enhanced CT scan as early as possible to rule out or confirm renal infarction.

Item Type: Article
Uncontrolled Keywords: Epigastric pain, atrial fibrillation, lactate dehydrogenase
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) > 616.3 Malattie del sistema digerente
Depositing User: Chiara D'Arpa
Date Deposited: 09 Sep 2016 15:16
Last Modified: 09 Sep 2016 15:16
URI: http://eprints.bice.rm.cnr.it/id/eprint/15006

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