title: Acute renal infarction from a cardiac thrombus.
abstract: BACKGROUND
  A 53-year-old man presented to hospital 2 hours after the abrupt onset of left upper abdominal pain. He was treated with analgesics and discharged after 4 hours of observation, but presented to another hospital 2 hours later with severe left abdominal pain. His past medical history included ischemic dilated cardiomyopathy due to recurrent myocardial infarction.
  
  
  METHODS
  Physical examination, electrocardiography, laboratory investigations, contrast-enhanced computed tomography, and transesophageal echocardiography.
  
  
  METHODS
  Renal artery thromboembolism resulting from dilated cardiomyopathy, severely reduced cardiac function and an intracardiac thrombus.
  
  
  RESULTS
  Anticoagulation with unfractionated heparin followed by enoxaparin and warfarin.
authors.affiliation: Department of Internal Medicine B, Rambam Health Care Campus, Haifa 31096, Israel. nicola.nasser@gmail.com
authors.forename: Nicola J
authors.initials: NJ
authors.lastname: Nasser
authors.forename: Sobhi
authors.initials: S
authors.lastname: Abadi
authors.forename: Zaher S
authors.initials: ZS
authors.lastname: Azzam
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000208:Acute Disease; D000925:Anticoagulants / Q000008:administration & dosage; D002311:Cardiomyopathy, Dilated / Q000150:complications; D003328:Coronary Thrombosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D017984:Enoxaparin / Q000008:administration & dosage; D006801:Humans; D007238:Infarction / Q000000981:diagnostic imaging / Q000209:etiology*; D007674:Kidney Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D012077:Renal Artery / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D014859:Warfarin / Q000008:administration & dosage
chemical_list: D000925:Anticoagulants; D017984:Enoxaparin; D014859:Warfarin