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NDT Plus Advance Access originally published online on June 26, 2009
NDT Plus 2009 2(5):362-364; doi:10.1093/ndtplus/sfp074
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© The Author [2009]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Renal infarction in patients presenting with suspected renal colic*

Ian W. Seetho1, Peter M. Bungay2, Maarten W. Taal1, Richard J. Fluck1 and Janson C. H. Leung1,3

1 Department of Nephrology
2 Department of Interventional Radiology, Derby City General Hospital, Uttoxeter Road, Derby, DE22 2NE, UK

Correspondence: Correspondence and offprint requests to: Janson C. H. Leung; E-mail: janson.leung{at}derbyhospitals.nhs.uk


  Abstract

Acute renal infarction is a serious medical emergency. The diagnosis is often delayed or missed as it is not common. Hence, the exact incidence of acute renal infarction is not known. Failure to consider renal infarction in the initial differential diagnosis results in a delay in diagnosis and treatment, which in turn leads to permanent loss of renal function. We present two cases of acute kidney infarction that were initially treated as renal colic. In addition, we present a third case when a kidney was saved with reperfusion therapy.

Key Words: renal infarction • renal thromboembolism • renal thrombosis

Received for publication April 2, 2009. Accepted for publication June 4, 2009.

* All authors contributed equally to the manuscript.

3 This author is the guarantor.


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