Acute renal infarction in a patient with left atrial myxoma.
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.
Fujisaki
K
K
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
Shohno
Y
Y
Yoshida
T
T
Ono
A
A
Mizumasa
T
T
Kondoh
H
H
Katsuragi
I
I
Ikeda
K
K
Kumagai
H
H
Meno
H
H
Nishid
T
T
Tomita
Y
Y
Tominaga
R
R
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