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Vol. 33. Issue 4.
Pages 203-205 (July - August 2021)
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Vol. 33. Issue 4.
Pages 203-205 (July - August 2021)
Case Report
Who shot first? Three possible causes of a kidney infarction
¿Quién disparó primero? Infarto renal de tres posibles causas
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Pablo González-Bustos, Ricardo Roa-Chamorro
Corresponding author
ricardoroa@gmail.com

Corresponding author.
, Fernando Jaén-Águila
Unidad de Riesgo Vascular, Medicina Interna, Hospital Universitario Virgen de las Nieves, Granada, Spain
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Abstract

Renal infarction is a rare disease whose incidence is less than 1%. The symptoms can be abdominal or flank pain, nausea, vomiting, fever or hypertension. The diagnosis is complex, and it is based on symptoms, blood analysis with an elevated level of lactate dehydrogenase and computed tomography angiography. The two major causes of renal infarction are thromboembolism and in situ thrombosis. The treatment depends on an adequate etiological diagnosis.

Keywords:
Kidney infaction
Atheroembolism
Antiphospholipid syndrome
Resumen

El infarto renal agudo (IRA) es una patología con frecuencia inferior al 1% y diagnóstico complejo. Puede manifestarse como dolor abdominal o en fosa renal, asociando náuseas, vómitos, fiebre o incluso hipertensión, entre otros. El diagnóstico está basado en una alta sospecha clínica, con elevación de lactato deshidrogenasa (LDH) en los análisis y angio-TC con defecto de perfusión renal parenquimatosa en cuña. En cuanto a la etiología del IRA, podemos distinguir dos grupos etiológicos: tromboembólicos y trombosis in situ. Es importante realizar un adecuado diagnóstico causal para realizar un tratamiento correcto.

Palabras clave:
Infarto renal
Ateroembolismo
Síndrome antifosfolípido

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