Acute Renal Infarction: A Single-Center Experience

Çağdaş  Şenel; Ahmet  Asfuroğlu; İbrahim Can  Aykanat; Ali Yasin Özercan; Burak Köseoğlu; Melih  Balcı; Yılmaz  Aslan; Altuğ Tuncel

doi:10.5152/EurJTher.2022.22004

Authors

Çağdaş Şenel Department of Urology, Balıkesir University School of Medicine, Balıkesir, Turkey https://orcid.org/0000-0002-4030-002X
Ahmet Asfuroğlu Department of Urology, University of Health Sciences School of Medicine, Ankara City Hospital, Ankara, Turkey https://orcid.org/0000-0002-4310-7444
İbrahim Can Aykanat Department of Urology, Yozgat City Hospital, Yozgat, Turkey https://orcid.org/0000-0001-7144-1522
Ali Yasin Özercan 2Department of Urology, University of Health Sciences School of Medicine, Ankara City Hospital, Ankara, Turkey https://orcid.org/0000-0001-8378-0409
Burak Köseoğlu Department of Urology, University of Health Sciences School of Medicine, Ankara City Hospital, Ankara, Turkey https://orcid.org/0000-0001-7591-4497
Melih Balcı Department of Urology, University of Health Sciences School of Medicine, Ankara City Hospital, Ankara, Turkey https://orcid.org/0000-0001-7591-4497
Yılmaz Aslan Department of Urology, University of Health Sciences School of Medicine, Ankara City Hospital, Ankara, Turkey https://orcid.org/0000-0003-0670-6840
Altuğ Tuncel Department of Urology, University of Health Sciences School of Medicine, Ankara City Hospital, Ankara, Turkey https://orcid.org/0000-0003-2482-797X

DOI:

https://doi.org/10.5152/EurJTher.2022.22004

Keywords:

Glomerular filtration rate, infarction, kidney, kidney function tests

Abstract

Objective: The aim of this study is to evaluate the clinical characteristics and short- and midterm renal functions in patients with acute renal infarction.

Methods: The medical records of the patients who were diagnosed with acute renal infarction by computed tomography in our clinic between 2012 and 2019 were retrospectively reviewed. Twenty-four patients who had follow-up data for at least 1 year were included in the study. Clinical, radiological, and laboratory findings of the patients at the time of admission and the results of serum creatinine level and glomerular filtration rate at first month and first year were recorded.

Results: The mean age of the patients was 49.5 ± 20.7 years. In half of the cases, cardiac origin diseases were the underlying risk factor of acute renal infarction. Flank/abdominal pain was the most common presenting symptom. At admission, mean white blood cell count, serum lactate dehydrogenase, serum creatinine, and glomerular filtration rate values were 12 507 ± 6367/μL, 437.4 ± 261 U/L, 1.4 ± 1.9 mg/dL, and 85.3 ± 47.7 mL/min/1.73 m2, respectively. Chronic kidney disease developed in 7 patients.

Conclusions: Acute renal infarction should be taken into consideration in patients with flank or abdominal pain and increased serum lactate dehydrogenase level. In addition, patients with acute renal infarction are at risk of developing chronic kidney disease.

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