Research Information System
Archives of Clinical and Experimental Medicine, vol.5, no.2, pp.75-78, 2020 (Peer-Reviewed Journal)
Aim: We aimed to reveal the clinical, laboratory, radiological findings of infarction in the renal artery and its
branches due to thrombosis, its effects on renal functions and the measures to be taken.
Methods: The study sample included 8 patients who were admitted to the emergency department of Kutahya
University of Health Sciences Evliya Celebi Training and Research Hospital between 2018-2020, and who were
hospitalized with the diagnosis of acute renal infarction. Patients were retrospectively analyzed with clinical
findings, CT angiography-abdomen, clinical observations, prognosis and complications.
Results: Of the patients, 5 were male and 3 were female. The mean age was 55.13 (29-69) years. One patient
presented with bilateral renal infarction, while 7 had unilateral renal infarction. The etiology of the patients was
idiopathic in 2, atrial fibrilation (AF) in 3 patients, and atherosclerosis in 3 patient. The mean serum creatinine
of 1.24 (0.7-3.2) mg/dl and the mean blood leukocyte level of 16925 (11000-26000) mcL were determined. The
mean length of hospital stay was 4.6 (3-7) days. Anticoagulant therapy was initiated in all patients for risk of
recurrent renal infarction and thromboembolism.
Conclusion: We revealed that renal infarction, rarely seen in urology practice, has nonspecific clinical findings;
therefore, it should be kept in mind in differential diagnosis for patients presenting with sudden-onset oblique or
abdominal pain, and that diagnosis can be made using contrast-enhanced CT. We determined that AF and
valvular heart diseases which cause atherosclerosis and cardiac thrombosis play an important role in the
etiology.