Acute renal artery infarction secondary to dysfibrinogenemia.
Renal infarction is a rare occurrence accounting for 0.007% of patients seen in the emergency department for renal insufficiency or hypertension. Dysfibrinogenemia is also rare, and the combination of renal artery infarct in the setting of congenital dysfibrinogenemia has not been described in the literature. Our patient, with a remote history of congenital dysfibrinogenemia with no known haemorrhagic or thrombotic complications, presented with acute flank pain and was subsequently diagnosed with an acute renal arterial infarction. He was treated with subcutaneous enoxaparin and then transitioned to lifelong anticoagulation with rivaroxaban therapy.
['Keinath|Kyle|K|', 'Church|Tyler|T|', 'Fogarty|Brian||', 'Sadowski|Brett|B|', 'Perkins|Jeremy|J|']
D000328:Adult D000347:Afibrinogenemia D000925:Anticoagulants D000072226:Computed Tomography Angiography D003937:Diagnosis, Differential D017984:Enoxaparin D065427:Factor Xa Inhibitors D021501:Flank Pain D006801:Humans D007238:Infarction D007279:Injections, Subcutaneous D007668:Kidney D008297:Male D035583:Rare Diseases D012077:Renal Artery D000069552:Rivaroxaban D014057:Tomography, X-Ray Computed D016896:Treatment Outcome
haematology (incl blood transfusion) renal medicine