Hypertension Research
Online ISSN : 1348-4214
Print ISSN : 0916-9636
ISSN-L : 0916-9636
Case Report
Two Cases with Renal Infarction Diagnosed in the Early Course Using Contrast-Enhanced CT
Tetsuro YOSHIDANoriyuki IKEHARAHiromichi MIYABESeiichiro SAKATAKazuhiro YAJIMASeiji MUKAINobuyuki OHTEGenjiro KIMURA
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2004 Volume 27 Issue 7 Pages 523-526


We experienced two cases of renal infarction with atrial fibrillation who presented with acute abdominal pain. On initial urinalysis, both patients showed no hematuria, but the plasma lactate dehydrogenase level was markedly elevated with little or no rise in plasma transaminases. Their diagnosis was confirmed by contrast-enhanced CT of the abdomen on the second and third days of the crisis. We immediately initiated anticoagulant therapy, resulting in successful prevention of new embolism. Contrast-enhanced CT should be considered if abdominal symptoms develop in patients with atrial fibrillation. Renal infarction could be diagnosed in the early course, even in cases with incomplete occlusion of the renal arteries and normal renal function. (Hypertens Res 2004; 27: 523-526)

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© 2004 by the Japanese Society of Hypertension
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