Annals of Rehabilitation Medicine  2013;37(4):567-571

doi:10.5535/arm.2013.37.4.567

Multiorgan With Renal Infarction Following Treatment of Cerebral Infarction.

Ji Hee KIM 1 ; Chung KANG ; Hyo Jeong MOON ; Min Cheol JOO

Affiliations

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Keywords

Renal infarction; Atrial fibrillation; Cerebral infarction

Country

Republic of Korea

Language

English

Abstract

Acute renal infarction is a rare disease and it is often difficult to make a clinical diagnosis due to the non-specific clinical presentations and lack of the physicians' awarenesses. We experienced a case of a 72-year-old man who was diagnosed as multiorgan with renal infarction during the bridge therapy of cerebral infarction with atrial fibrillation. Computed tomogram (CT) with intravenous contrast of the abdomen and pelvis revealed left renal infarction with renal artery occlusion, multifocal splenic infarction, and ischemic colitis on rectum and sigmoid colon. The patient was treated with low molecular weight heparin for 10 days, his symptoms were improved and laboratory findings were normalized. Follow-up CT was performed on the 43th day, there were persisted left renal infarction with atrophic change shown and the splenic perfusion was improved.