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Revista Clínica de Medicina de Familia
On-line version ISSN 2386-8201Print version ISSN 1699-695X
Abstract
SANTAMARIA MARIN, Agustín; MONROY GOMEZ, Carmen; GARCIA-MINGUILLAN TALAVERA, Angela and SANCHEZ-MAROTO LOZANO, Teresa. Acute renal infarction. Rev Clin Med Fam [online]. 2013, vol.6, n.1, pp.58-60. ISSN 2386-8201. https://dx.doi.org/10.4321/S1699-695X2013000100012.
Renal infarction is a frequent cause of stomach pain. It should be suspected in all patients with with a history of cardiac arrhythmias or heart valve disease going to the casualty department (emergency room) for acute stomach pain and who also show signs of lactate elevation - dehyrogenase (LDH) and urine sediment disorder. In all these cases, the diagnostic procedure of choice is abdominal computerized tomography (CT) with contrast. We report the clinical case of a 78 year old woman with permanent atrial fibrillation (AF) with infra-therapeutic levels of acenocoumarol and history of a lower limb arterial ischaemia who went to the casualty department because of stomach pain.
Keywords : Renal infarction; Stomach pain; Embolism; Atrial fibrillation.