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KMID : 0359919960150030443
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Korean Journal of Nephrology
1996 Volume.15 No. 3 p.443 ~ p.447
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Two Cases of Acute Renal Falure due to Renal Artery Embolism with Atrial Fibrillation
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Abstract
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Renal artery occlusion, whether segmental or total, is accompanied by markedly impaired renal function. Renal artery embolism most frequently occurs in patient with pre-existing cardiac or vascular disease. The clinical picture has been well documented and is fairly characteristic: there is an abrupt onset of severe upper abdominal or flank pain with nausea and vomiting, albuminuria, and often hematuria. We have recently experienced in two cases of renal artery embolism associated with mitral stenosis and atrial fibrillation. The patients suffered from sudden onset of severe intractable abdominal and flank pain. The renal scans showed delayed excretion of the kidney and abdominal CT scans showed low density areas of the affected kidneys. We treated them by anticoagulation therapy and they showed improvement of renal function.
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