Thrombolytic therapy in bilateral embolism of renal arteries branches

Detalhes bibliográficos
Autor(a) principal: Cassini,Marcelo F.
Data de Publicação: 2003
Outros Autores: Cassini,Patrícia L., Russo,Rodrigo L
Tipo de documento: Relatório
Idioma: eng
Título da fonte: International Braz J Urol (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382003000200009
Resumo: Bilateral renal artery embolism is rare, but it is a significant cause of arterial hypertension and renal failure, and most often is associated with cardiac arrhythmias. We report a case of bilateral renal artery embolism with a satisfactory outcome following use of thrombolytic therapy. A 42 year-old Caucasian man presented a sudden complaint of intense abdominal pain, in mesogastrium and left flank with dorsal irradiation, 3 days after electrical cardioversion due to cardiac arrhythmia. Laboratory tests revealed slight leukocytosis, hematuria, and creatinine of 1.8 mg/dL. Chest radiography was normal and computerized tomography showed an area of massive ischemia in left kidney, and focal ischemia in right kidney and spleen. The patient was then submitted to systemic venous therapy with 1.5 million units of streptokinase, with an excellent outcome.
id SBU-1_ce8131a1f361e7302c697d526a5559d1
oai_identifier_str oai:scielo:S1677-55382003000200009
network_acronym_str SBU-1
network_name_str International Braz J Urol (Online)
repository_id_str
spelling Thrombolytic therapy in bilateral embolism of renal arteries brancheskidneyrenal arteryembolismtherapeuticsthrombolyticsBilateral renal artery embolism is rare, but it is a significant cause of arterial hypertension and renal failure, and most often is associated with cardiac arrhythmias. We report a case of bilateral renal artery embolism with a satisfactory outcome following use of thrombolytic therapy. A 42 year-old Caucasian man presented a sudden complaint of intense abdominal pain, in mesogastrium and left flank with dorsal irradiation, 3 days after electrical cardioversion due to cardiac arrhythmia. Laboratory tests revealed slight leukocytosis, hematuria, and creatinine of 1.8 mg/dL. Chest radiography was normal and computerized tomography showed an area of massive ischemia in left kidney, and focal ischemia in right kidney and spleen. The patient was then submitted to systemic venous therapy with 1.5 million units of streptokinase, with an excellent outcome.Sociedade Brasileira de Urologia2003-04-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382003000200009International braz j urol v.29 n.2 2003reponame:International Braz J Urol (Online)instname:Sociedade Brasileira de Urologia (SBU)instacron:SBU10.1590/S1677-55382003000200009info:eu-repo/semantics/openAccessCassini,Marcelo F.Cassini,Patrícia L.Russo,Rodrigo Leng2003-09-19T00:00:00Zoai:scielo:S1677-55382003000200009Revistahttp://www.brazjurol.com.br/ONGhttps://old.scielo.br/oai/scielo-oai.php||brazjurol@brazjurol.com.br1677-61191677-5538opendoar:2003-09-19T00:00International Braz J Urol (Online) - Sociedade Brasileira de Urologia (SBU)false
dc.title.none.fl_str_mv Thrombolytic therapy in bilateral embolism of renal arteries branches
title Thrombolytic therapy in bilateral embolism of renal arteries branches
spellingShingle Thrombolytic therapy in bilateral embolism of renal arteries branches
Cassini,Marcelo F.
kidney
renal artery
embolism
therapeutics
thrombolytics
title_short Thrombolytic therapy in bilateral embolism of renal arteries branches
title_full Thrombolytic therapy in bilateral embolism of renal arteries branches
title_fullStr Thrombolytic therapy in bilateral embolism of renal arteries branches
title_full_unstemmed Thrombolytic therapy in bilateral embolism of renal arteries branches
title_sort Thrombolytic therapy in bilateral embolism of renal arteries branches
author Cassini,Marcelo F.
author_facet Cassini,Marcelo F.
Cassini,Patrícia L.
Russo,Rodrigo L
author_role author
author2 Cassini,Patrícia L.
Russo,Rodrigo L
author2_role author
author
dc.contributor.author.fl_str_mv Cassini,Marcelo F.
Cassini,Patrícia L.
Russo,Rodrigo L
dc.subject.por.fl_str_mv kidney
renal artery
embolism
therapeutics
thrombolytics
topic kidney
renal artery
embolism
therapeutics
thrombolytics
description Bilateral renal artery embolism is rare, but it is a significant cause of arterial hypertension and renal failure, and most often is associated with cardiac arrhythmias. We report a case of bilateral renal artery embolism with a satisfactory outcome following use of thrombolytic therapy. A 42 year-old Caucasian man presented a sudden complaint of intense abdominal pain, in mesogastrium and left flank with dorsal irradiation, 3 days after electrical cardioversion due to cardiac arrhythmia. Laboratory tests revealed slight leukocytosis, hematuria, and creatinine of 1.8 mg/dL. Chest radiography was normal and computerized tomography showed an area of massive ischemia in left kidney, and focal ischemia in right kidney and spleen. The patient was then submitted to systemic venous therapy with 1.5 million units of streptokinase, with an excellent outcome.
publishDate 2003
dc.date.none.fl_str_mv 2003-04-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/report
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format report
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382003000200009
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382003000200009
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S1677-55382003000200009
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Urologia
publisher.none.fl_str_mv Sociedade Brasileira de Urologia
dc.source.none.fl_str_mv International braz j urol v.29 n.2 2003
reponame:International Braz J Urol (Online)
instname:Sociedade Brasileira de Urologia (SBU)
instacron:SBU
instname_str Sociedade Brasileira de Urologia (SBU)
instacron_str SBU
institution SBU
reponame_str International Braz J Urol (Online)
collection International Braz J Urol (Online)
repository.name.fl_str_mv International Braz J Urol (Online) - Sociedade Brasileira de Urologia (SBU)
repository.mail.fl_str_mv ||brazjurol@brazjurol.com.br
_version_ 1750318068585725952

Registros relacionados