【一例28岁男性肾梗死的罕见病因】。

4区医学 Q3 Medicine Internist Pub Date : 2022-02-01 Epub Date: 2021-10-15 DOI:10.1007/s00108-021-01186-8

Dimitrios David Papazoglou, Salome Weiss, Pascal Kissling

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引用次数: 0

摘要

这篇文章提出的情况下，28岁的男性患者肾梗死由于栓塞创伤后肾节段动脉动脉瘤。他在一次摩托车事故1.5年后出现腹部和腹部疼痛。C反应蛋白(CRP)和乳酸脱氢酶(LDH)水平升高，并通过计算机断层扫描(CT)血管造影进行诊断。排除其他肾梗死原因。经过跨学科的讨论，我们决定对这名年轻且运动活跃的患者使用介入盘绕，以避免长期抗凝。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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[Rare cause of renal infarction in a 28-year-old male patient].

This article presents the case of a 28-year-old male patient with a renal infarction due to an embolizing traumatic postdissection aneurysm of a renal segmental artery. He presented with abdominal and flank pain 1.5 years after a motorcycle accident. The C‑reactive protein (CRP) and lactate dehydrogenase (LDH) levels were elevated and the diagnosis was made by computed tomography (CT) angiography. Other causes of renal infarction were excluded. After an interdisciplinary discussion we decided to use interventional coiling in this young and athletically active patient in order to avoid long-term anticoagulation.

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来源期刊

Internist 医学-医学：内科

CiteScore

1.20

自引率

0.00%

发文量

139

审稿时长

4-8 weeks

期刊介绍： Der Internist is an internationally respected journal dealing with all aspects of internal medicine. The journal serves both the scientific exchange and the continuing education of internists working in practical or clinical environments as well as of general practitioners who are particularly interested in internal medicine. The focus is on the topics of prevention, diagnostic approaches, management of complications, and current therapy strategies. Comprehensive reviews on a specific topical issue focus on providing evidenced based information on diagnostics and therapy. Case reports feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. Review articles under the rubric "Continuing Medical Education" present verified results of scientific research and their integration into daily practice.