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Archivos Españoles de Urología (Ed. impresa)
versão impressa ISSN 0004-0614
Resumo
BARBAGELATA LOPEZ, Alfonso et al. Renal infarction in the evaluation of lumbar pain. Arch. Esp. Urol. [online]. 2008, vol.61, n.5, pp.646-649. ISSN 0004-0614.
Objective: We report the case of a young patient without known cardiovascular risk factors, complaining of lumbar colic pain due to renal infarction. Methods: Differential diagnosis of lumbar colic pain must include some rare events. We performed a review of the current knowledge on the topic. Results/Conclusion: The increasing difficulty in the diagnosis of these pathology lies on its clinical suspect, which can be clear when having cardiovascular risk factors. Its diagnosis, on a rare scenario, needs leucocytosis and LDH rising as suspicious indicators. Computed tomography, MRI, radionuclids and arteriography may confirm diagnosis. Treatment is based on thrombolytic therapy, anticoagulants and antiagregants.
Palavras-chave : Renal angioinfarction; Flank pain.