Renal infarction mimicking cholecystitis: a case report of a patient presenting with stroke

Objective: Renal infarction which is a rare phenomenon can be missed on the patient’s work up making its incidence low. Case Presentation: We report a 68-year-old lady with known history of hypertension presented with epigastric pain and vomiting for 4 days. During her stay in the emergency room, s...

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Main Authors: Sadaf Sheikh, Umair Javed
Format: Article
Language:English
Published: Kerman University of Medical Sciences 2022-07-01
Series:Journal of Emergency Practice and Trauma
Subjects:
Online Access:http://www.jept.ir/article_91942.html
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author Sadaf Sheikh
Umair Javed
author_facet Sadaf Sheikh
Umair Javed
author_sort Sadaf Sheikh
collection DOAJ
description Objective: Renal infarction which is a rare phenomenon can be missed on the patient’s work up making its incidence low. Case Presentation: We report a 68-year-old lady with known history of hypertension presented with epigastric pain and vomiting for 4 days. During her stay in the emergency room, she developed sudden onset of left-sided weakness. Electrocardiogram was normal sinus rhythm. Computed tomography scan of the abdomen showed acute pancreatitis with partial impingement of superior mesenteric vein. Conclusion: Imaging s showed cholelithiasis without evidence of cholecystitis and lower pole right renal infarct likely secondary to obstruction of the right lower renal artery due to calcified plaques at their origin from the aorta. Subsequently, the patient was kept on antiplatelets and planned for discharge uneventfully.
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spelling doaj.art-f82de650e535456da07cebf81436b6822022-12-22T03:42:18ZengKerman University of Medical SciencesJournal of Emergency Practice and Trauma2383-45442022-07-018215916110.34172/JEPT.2022.05Renal infarction mimicking cholecystitis: a case report of a patient presenting with strokeSadaf Sheikh0https://orcid.org/0000-0001-7457-0012Umair Javed1Emergency Medicine Department, Fujairah Hospital, Fujairah, United Arab EmiratesDepartment of Internal Medicine, Aga Khan University Hospital, Karachi, PakistanObjective: Renal infarction which is a rare phenomenon can be missed on the patient’s work up making its incidence low. Case Presentation: We report a 68-year-old lady with known history of hypertension presented with epigastric pain and vomiting for 4 days. During her stay in the emergency room, she developed sudden onset of left-sided weakness. Electrocardiogram was normal sinus rhythm. Computed tomography scan of the abdomen showed acute pancreatitis with partial impingement of superior mesenteric vein. Conclusion: Imaging s showed cholelithiasis without evidence of cholecystitis and lower pole right renal infarct likely secondary to obstruction of the right lower renal artery due to calcified plaques at their origin from the aorta. Subsequently, the patient was kept on antiplatelets and planned for discharge uneventfully.http://www.jept.ir/article_91942.htmlrenal infarctioncholecystitisabdominal pain
spellingShingle Sadaf Sheikh
Umair Javed
Renal infarction mimicking cholecystitis: a case report of a patient presenting with stroke
Journal of Emergency Practice and Trauma
renal infarction
cholecystitis
abdominal pain
title Renal infarction mimicking cholecystitis: a case report of a patient presenting with stroke
title_full Renal infarction mimicking cholecystitis: a case report of a patient presenting with stroke
title_fullStr Renal infarction mimicking cholecystitis: a case report of a patient presenting with stroke
title_full_unstemmed Renal infarction mimicking cholecystitis: a case report of a patient presenting with stroke
title_short Renal infarction mimicking cholecystitis: a case report of a patient presenting with stroke
title_sort renal infarction mimicking cholecystitis a case report of a patient presenting with stroke
topic renal infarction
cholecystitis
abdominal pain
url http://www.jept.ir/article_91942.html
work_keys_str_mv AT sadafsheikh renalinfarctionmimickingcholecystitisacasereportofapatientpresentingwithstroke
AT umairjaved renalinfarctionmimickingcholecystitisacasereportofapatientpresentingwithstroke