title: Acute renal infarction secondary to left ventricular thrombus, masquerading as a renal calculus--a case report and brief review of literature.
abstract: Acute embolic renal infarction is an entity that is often misdiagnosed as a renal calculus because of similar presenting symptoms. This leads to delay in the initiation of treatment and to increased morbidity. Few case reports exist relating cardiac emboli to acute renal infarction. The authors present a patient with a renal embolism secondary to left ventricular thrombus. A brief review of the literature highlighting the importance of clinical suspicion in making an accurate diagnosis, the utility of various diagnostic studies, and comparison of various treatment options is presented.
authors.affiliation: Department of Internal Medicine, Geisinger Medical Center, Danville, PA, USA.
authors.forename: G
authors.initials: G
authors.lastname: Singh
authors.forename: R
authors.initials: R
authors.lastname: Dhawan
authors.forename: C E
authors.initials: CE
authors.lastname: Potteiger
authors.forename: A
authors.initials: A
authors.lastname: Bedi
authors.forename: T A
authors.initials: TA
authors.lastname: Modesto
authors.forename: D R
authors.initials: DR
authors.lastname: Gutknecht
mesh_terms: D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005260:Female; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D007238:Infarction / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000209:etiology*; D007668:Kidney / Q000098:blood supply*; D007669:Kidney Calculi / Q000000981:diagnostic imaging*; D011859:Radiography; D012077:Renal Artery / Q000000981:diagnostic imaging; D012078:Renal Artery Obstruction / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000209:etiology*; D013923:Thromboembolism / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D014694:Ventricular Outflow Obstruction / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D014859:Warfarin / Q000627:therapeutic use
chemical_list: D000925:Anticoagulants; D014859:Warfarin; D006493:Heparin