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KMID : 0359920090280040350
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Korean Journal of Nephrology
2009 Volume.28 No. 4 p.350 ~ p.354
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A Case of Renal Infarct Developed in Acute Pancreatitis
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Kim Sun-Chul
Cha Jin-Joo
Oh Se-Won
Kwon Oh-Sung
Kang Young-Sun
Kim Hyung-Kyu
Cha Dae-Ryong
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Abstract
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A renal infarct is too rare a disease for early diagnosis and treatment. Furthermore, it presents nonspecific symptoms in many patients. Cardiac diseases such as valvular heart disease and arterial fibrillation are the most common causes of renal infarct. Vascular disease such as renal artery dissection or aortic dissection, trauma, inflammation, vasculitis, malignancy and antiphospholipid syndrome have been also known as possible causes of renal infarct. In acute pancreatitis, adjacent vessels can be involved, and were reported to induce splenic infarction, portal vein thrombosis and superior mesenteric vein thrombosis etc. However, the renal infarct from renal artery involvement in acute pancreatitis has not yet been reported. In our case, a 46 year old male patient had an abdominal trauma due to an in-car accident to develop a rupture of pancreatic tail. The progression of acute pancreatitis caused the inflammation of left renal artery, leading to renal artery obstruction. We report a case of renal infarct developed in acute pancreatitis.
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KEYWORD
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Renal artery obstruction, Pancreatitis
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