Korean Journal of Nephrology 1996;15(3):443-447.
심방세동 환자에서 신동맥 색전증에 의한 급성 신부전 2예
김인한 , 홍의수 , 문태훈 , 김문재
Abstract
Renal artery occlusion, whether segmental or total, is accompanied by markedly impaired renal function. Renal artery embolism most frequently occurs in patient with pre-existing cardiac or vascular disease. The clinical picture has been well documented and is fairly characteristic' there is an abrupt onset of severe upper aMominal or flank pain with nausea and vomiting, albuminuria, and often hematuria. We have recently experienced in two cases of renal artery embolism associated with mitral stenosis and atrial fibrillation. The patients suffered from sudden onset of severe intractable abdominal and flank pain. The renal scans showed delayed excretion of the kidney and abdominal CT scans showed low density areas of the affected kidneys. We treated them by anticoagulation therapy and they showed improve- ment of renal function.
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