title: [Bilateral renal infarction after discontinuation of anticoagulant therapy].
abstract: Acute renal infarction is an uncommon and often under diagnosed condition mostly because of misleading symptoms. Accurate data regarding clinical presentation, laboratory tests, diagnostic and treatment are lacking. Detection is often delayed or missed because of non-specific clinical presentation. The mechanisms of acute renal infarction are various, mainly embolic or thrombotic. Abdominal CT scan remains the most valuable exam to confirm the diagnosis. Therapeutic guidelines for the treatment of renal embolism have not been well established. The standard treatment strategy includes anticoagulation with or without thrombolysis. Despite the uncertainty regarding management, the renal outcome remains favorable. Some patients do develop some degree of renal insufficiency during the acute episode. We report here the case of a 73-year-old woman with bilateral acute renal infarction after discontinuation of anticoagulant therapy.
authors.affiliation: Service d'accueil des urgences, hôpital de Hautepierre, CHU de Strasbourg, 1, avenue Molière, 67098 Strasbourg, France.
authors.forename: Charles-Éric
authors.initials: CÉ
authors.lastname: Lavoignet
authors.affiliation: Service d'accueil des urgences, hôpital de Hautepierre, CHU de Strasbourg, 1, avenue Molière, 67098 Strasbourg, France; EA 7293, fédération de médecine translationnelle, faculté de médecine, université de Strasbourg, 4, rue Kirschleger, 67000 Strasbourg, France. Electronic address: pierrick_med@yahoo.fr.
authors.forename: Pierrick
authors.initials: P
authors.lastname: Le Borgne
authors.affiliation: Service d'accueil des urgences, hôpital de Hautepierre, CHU de Strasbourg, 1, avenue Molière, 67098 Strasbourg, France.
authors.forename: Sarah
authors.initials: S
authors.lastname: Ugé
authors.affiliation: Service d'accueil des urgences, hôpital de Hautepierre, CHU de Strasbourg, 1, avenue Molière, 67098 Strasbourg, France.
authors.forename: Rinaldo
authors.initials: R
authors.lastname: Veneziano
authors.affiliation: Service de radiologie, hôpital d'Offenburg-Gengenbach, 12, Ebertplatz, 77654 Offenburg, Allemagne.
authors.forename: Claudia
authors.initials: C
authors.lastname: Brunhuber
authors.affiliation: Service d'accueil des urgences, hôpital de Hautepierre, CHU de Strasbourg, 1, avenue Molière, 67098 Strasbourg, France.
authors.forename: Claire
authors.initials: C
authors.lastname: Kam
authors.affiliation: Service d'accueil des urgences, hôpital de Hautepierre, CHU de Strasbourg, 1, avenue Molière, 67098 Strasbourg, France; EA 7293, fédération de médecine translationnelle, faculté de médecine, université de Strasbourg, 4, rue Kirschleger, 67000 Strasbourg, France.
authors.forename: Pascal
authors.initials: P
authors.lastname: Bilbault
mesh_terms: D000368:Aged; D000925:Anticoagulants / Q000008:administration & dosage*; D005260:Female; D006493:Heparin / Q000008:administration & dosage*; D006801:Humans; D007238:Infarction / Q000175:diagnosis*; D007668:Kidney / Q000098:blood supply*; D012077:Renal Artery / Q000000981:diagnostic imaging
chemical_list: D000925:Anticoagulants; D006493:Heparin
keywords: Anticoagulant; Anticoagulant therapy; Infarctus rénal; Renal infarction