title: Acute renal infarction in a patient with left atrial myxoma.
abstract: A 24-year-old male first attended our hospital with acute onset of right flank pain radiating to the right lower quadrant of the abdomen. A contrast-enhanced computer tomography (CT) scan showed renal infarction, and he was admitted immediately for treatment. On admission, the right lower abdominal pain diminished gradually. On the second day in hospital, a left atrial echogenic mass was detected which filled the left atrial cavity; it appeared to be a left atrial myxoma measuring 3.9+/-4.9 cm. The patient was immediately transferred and underwent emergency surgery. Histologic examination confirmed the diagnosis of myxoma. Post-operatively, he recovered well and was discharged from hospital without any further specific treatment.
authors.affiliation: Department of Medicine and Clinical Science, Division of Nephrology, Graduate School of Medical Sciences, Kyushu University, Maidashi 3-1-1, Higashi-ku, Fukuoka 812-8582, Japan. kiichiro.fujisaki@nifty.ne.jp
authors.forename: K
authors.initials: K
authors.lastname: Fujisaki
authors.forename: Y
authors.initials: Y
authors.lastname: Shohno
authors.forename: T
authors.initials: T
authors.lastname: Yoshida
authors.forename: A
authors.initials: A
authors.lastname: Ono
authors.forename: T
authors.initials: T
authors.lastname: Mizumasa
authors.forename: H
authors.initials: H
authors.lastname: Kondoh
authors.forename: I
authors.initials: I
authors.lastname: Katsuragi
authors.forename: K
authors.initials: K
authors.lastname: Ikeda
authors.forename: H
authors.initials: H
authors.lastname: Kumagai
authors.forename: H
authors.initials: H
authors.lastname: Meno
authors.forename: T
authors.initials: T
authors.lastname: Nishid
authors.forename: Y
authors.initials: Y
authors.lastname: Tomita
authors.forename: R
authors.initials: R
authors.lastname: Tominaga
mesh_terms: D000208:Acute Disease; D000328:Adult; D006325:Heart Atria; D006338:Heart Neoplasms / Q000150:complications*; D006801:Humans; D007238:Infarction / Q000209:etiology*; D007668:Kidney / Q000098:blood supply*; D008297:Male; D009232:Myxoma / Q000150:complications*; D009360:Neoplastic Cells, Circulating