Thrombolytic therapy in bilateral embolism of renal arteries branches
Autor(a) principal: | |
---|---|
Data de Publicação: | 2003 |
Outros Autores: | , |
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 |