Case of the Month: July 2008

Treatment

  • Medical
    • Antithrombolytics, anticoagulants, antihypertensives.

  • Surgery or angioplasty
    • Atherosclerotic renal artery stenosis.

  • Nephrectomy
    • Irreversible traumatic global infarction.

Key Points

  • Localized or global area of ischemic necrosis in kidney, resulting most often from sudden occlusion of its arterial supply.

  • Residual renal function after infarct depends on territory of involvement and timely treatment.

  • Causes are usually embolic phenomenon from the heart, but can included thromboses and trauma.

  • Treatment includes thrombolytics, antihypertensives, angioplasty, surgery, or nephrectomy.

We welcome your feedback, please send questions and comments to Marcel Maya, MD